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Application of high-flow nasal oxygenation as a rescue therapy in difficult videolaryngoscopic intubation

In difficult airway situations, the next step of the airway management method is selected according to the prior presence of difficulties in mask ventilation and endotracheal intubation. It is important for the practitioner to be calm, quick in judgment, and take action in cases of difficult intubat...

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Autores principales: Lee, Min Ho, Kim, Hyun Joo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8060755/
https://www.ncbi.nlm.nih.gov/pubmed/33959283
http://dx.doi.org/10.1177/2050313X211010015
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author Lee, Min Ho
Kim, Hyun Joo
author_facet Lee, Min Ho
Kim, Hyun Joo
author_sort Lee, Min Ho
collection PubMed
description In difficult airway situations, the next step of the airway management method is selected according to the prior presence of difficulties in mask ventilation and endotracheal intubation. It is important for the practitioner to be calm, quick in judgment, and take action in cases of difficult intubation. Recently, high-flow nasal oxygenation has been rapidly introduced into the anesthesiology field. This technique could extend the safe apnea time to desaturation. Especially, it maintains adequate oxygenation even in apnea and allows time for intubation or alternative airway management. We report two cases in which high-flow nasal oxygenation was implemented in the middle of the induction process after quick judgment by clinicians. High-flow nasal oxygenation was successfully used to assist in prolonging the safe apnea time during delicate airway securing attempts.
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spelling pubmed-80607552021-05-05 Application of high-flow nasal oxygenation as a rescue therapy in difficult videolaryngoscopic intubation Lee, Min Ho Kim, Hyun Joo SAGE Open Med Case Rep Case Report In difficult airway situations, the next step of the airway management method is selected according to the prior presence of difficulties in mask ventilation and endotracheal intubation. It is important for the practitioner to be calm, quick in judgment, and take action in cases of difficult intubation. Recently, high-flow nasal oxygenation has been rapidly introduced into the anesthesiology field. This technique could extend the safe apnea time to desaturation. Especially, it maintains adequate oxygenation even in apnea and allows time for intubation or alternative airway management. We report two cases in which high-flow nasal oxygenation was implemented in the middle of the induction process after quick judgment by clinicians. High-flow nasal oxygenation was successfully used to assist in prolonging the safe apnea time during delicate airway securing attempts. SAGE Publications 2021-04-20 /pmc/articles/PMC8060755/ /pubmed/33959283 http://dx.doi.org/10.1177/2050313X211010015 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Lee, Min Ho
Kim, Hyun Joo
Application of high-flow nasal oxygenation as a rescue therapy in difficult videolaryngoscopic intubation
title Application of high-flow nasal oxygenation as a rescue therapy in difficult videolaryngoscopic intubation
title_full Application of high-flow nasal oxygenation as a rescue therapy in difficult videolaryngoscopic intubation
title_fullStr Application of high-flow nasal oxygenation as a rescue therapy in difficult videolaryngoscopic intubation
title_full_unstemmed Application of high-flow nasal oxygenation as a rescue therapy in difficult videolaryngoscopic intubation
title_short Application of high-flow nasal oxygenation as a rescue therapy in difficult videolaryngoscopic intubation
title_sort application of high-flow nasal oxygenation as a rescue therapy in difficult videolaryngoscopic intubation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8060755/
https://www.ncbi.nlm.nih.gov/pubmed/33959283
http://dx.doi.org/10.1177/2050313X211010015
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