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

Authors
 Min Ho Lee  ;  Hyun Joo Kim 
Citation
 SAGE OPEN MEDICAL CASE REPORTS, Vol.9 : 1-4, 2021-04 
Journal Title
 SAGE OPEN MEDICAL CASE REPORTS 
Issue Date
2021-04
Keywords
Difficult intubation ; fiberoptic bronchoscope ; high-flow nasal oxygenation ; mask ventilation ; safe apnea time ; videolaryngoscope
Abstract
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.
Files in This Item:
T202101562.pdf Download
DOI
10.1177/2050313X211010015
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyun Joo(김현주) ORCID logo https://orcid.org/0000-0003-1963-8955
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/182906
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