A novel application of Transnasal Humidified Rapid Insufflation Ventilatory Exchange via the oral route in morbidly obese patient during monitored anesthesia care - A case report -

BACKGROUND: Transnasal Humidified Rapid Insufflation Ventilatory Exchange (THRIVE) is used to improve oxygenation, with the added benefit of a smaller increase in CO(2) if self-respiration is maintained with THRIVE. Despite these advantages, the use of THRIVE through a nasal cannula is limited in si...

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Autores principales: Jung, Jaewoong, Chung, Yang-Hoon, Chae, Won Seok
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Anesthesiologists 2020
Materias:
General Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7724123/
https://www.ncbi.nlm.nih.gov/pubmed/33329856
http://dx.doi.org/10.17085/apm.20043
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author Jung, Jaewoong
Chung, Yang-Hoon
Chae, Won Seok
author_facet Jung, Jaewoong
Chung, Yang-Hoon
Chae, Won Seok
author_sort Jung, Jaewoong
collection PubMed
description BACKGROUND: Transnasal Humidified Rapid Insufflation Ventilatory Exchange (THRIVE) is used to improve oxygenation, with the added benefit of a smaller increase in CO(2) if self-respiration is maintained with THRIVE. Despite these advantages, the use of THRIVE through a nasal cannula is limited in situations such as epistaxis or a basal skull fracture. CASE: We successful used THRIVE, through the oral route under general anesthesia with spontaneous breathing in a morbidly obese patient (weight, 148 kg; height, 183 cm; body mass index, 44.2 kg/m(2)) who received transnasal steroid injections due to subglottic stenosis. CONCLUSIONS: THRIVE through the oral route may be an effective novel option, although further studies are needed.
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spelling pubmed-77241232020-12-15 A novel application of Transnasal Humidified Rapid Insufflation Ventilatory Exchange via the oral route in morbidly obese patient during monitored anesthesia care - A case report - Jung, Jaewoong Chung, Yang-Hoon Chae, Won Seok Anesth Pain Med (Seoul) General Article BACKGROUND: Transnasal Humidified Rapid Insufflation Ventilatory Exchange (THRIVE) is used to improve oxygenation, with the added benefit of a smaller increase in CO(2) if self-respiration is maintained with THRIVE. Despite these advantages, the use of THRIVE through a nasal cannula is limited in situations such as epistaxis or a basal skull fracture. CASE: We successful used THRIVE, through the oral route under general anesthesia with spontaneous breathing in a morbidly obese patient (weight, 148 kg; height, 183 cm; body mass index, 44.2 kg/m(2)) who received transnasal steroid injections due to subglottic stenosis. CONCLUSIONS: THRIVE through the oral route may be an effective novel option, although further studies are needed. Korean Society of Anesthesiologists 2020-10-30 2020-10-30 /pmc/articles/PMC7724123/ /pubmed/33329856 http://dx.doi.org/10.17085/apm.20043 Text en Copyright © the Korean Society of Anesthesiologists, 2020 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle General Article
Jung, Jaewoong
Chung, Yang-Hoon
Chae, Won Seok
A novel application of Transnasal Humidified Rapid Insufflation Ventilatory Exchange via the oral route in morbidly obese patient during monitored anesthesia care - A case report -
title A novel application of Transnasal Humidified Rapid Insufflation Ventilatory Exchange via the oral route in morbidly obese patient during monitored anesthesia care - A case report -
title_full A novel application of Transnasal Humidified Rapid Insufflation Ventilatory Exchange via the oral route in morbidly obese patient during monitored anesthesia care - A case report -
title_fullStr A novel application of Transnasal Humidified Rapid Insufflation Ventilatory Exchange via the oral route in morbidly obese patient during monitored anesthesia care - A case report -
title_full_unstemmed A novel application of Transnasal Humidified Rapid Insufflation Ventilatory Exchange via the oral route in morbidly obese patient during monitored anesthesia care - A case report -
title_short A novel application of Transnasal Humidified Rapid Insufflation Ventilatory Exchange via the oral route in morbidly obese patient during monitored anesthesia care - A case report -
title_sort novel application of transnasal humidified rapid insufflation ventilatory exchange via the oral route in morbidly obese patient during monitored anesthesia care - a case report -
topic General Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7724123/
https://www.ncbi.nlm.nih.gov/pubmed/33329856
http://dx.doi.org/10.17085/apm.20043
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