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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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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. |
format | Online Article Text |
id | pubmed-8060755 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
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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