Use of a High-Flow Nasal Cannula in a Child With a Functional Single Ventricle and Difficult Airway

Lee, Byungdoo Andrew; Shin, Won-Jung; Jeong, Daun; Choi, Jae Moon; Gwak, Mijeung; Song, In Kyung

doi:10.1053/j.jvca.2020.08.019

Cited by 3 publications

(3 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Even though there are no definitive studies comparing the efficacy of the airway management process between facemasks and HFNC for pediatric cases, HFNC is attracting increased attention and may provide safe preoxygenation [ 7 ]. HFNC can be a feasible option for children who are noncompliant to the tight-fitting facemask [ 8 ] during the induction of general anesthesia and highly susceptible to rapid desaturation. Since supraglottic airway devices are now being used in children as a first-choice airway device and as a conduit for tracheal intubation [ 9 ], the i-gel was selected in the present case as a route to facilitate easy provision of local anesthesia under spontaneous breathing to the upper airway.…”

Section: Discussionmentioning

confidence: 99%

Airway Management for Massive Anterior Mediastinal Tumor Resection in an Infant: A Strategy Involving Spontaneous Breathing‐Preserving Endotracheal Intubation under Intravenous Anesthesia

Matsuda,

Ito,

Katsuike

et al. 2024

Case Reports in Pediatrics

View full text Add to dashboard Cite

Tracheal intubation under sedation in uncooperative infants is challenging. The case of a 4-month-old infant with a massive anterior mediastinal tumor and upper respiratory tract symptoms, for whom effective preoxygenation was provided with a high-flow nasal cannula (HFNC), allowing for safe tracheal intubation in combination with a supraglottic device and local anesthetic, is reported. With careful planning of anesthesia and creative problem solving, airway management for anterior mediastinal tumors can be performed safely with the selection of an appropriate airway device. This may be a good airway management strategy for infants with mediastinal tumors or who may be expected to have ventilation difficulties.

show abstract

Section: Discussionmentioning

confidence: 99%

Airway Management for Massive Anterior Mediastinal Tumor Resection in an Infant: A Strategy Involving Spontaneous Breathing‐Preserving Endotracheal Intubation under Intravenous Anesthesia

Matsuda,

Ito,

Katsuike

et al. 2024

Case Reports in Pediatrics

View full text Add to dashboard Cite

show abstract

“…However, no trials have been conducted to formally assess this theoretical and logical benefit of the use of HFNO. Apneic oxygenation can also be an asset for difficult airway management in children, as reported in the case of a child with single ventricle physiology and difficult intubation [34].…”

Section: Reviewmentioning

confidence: 99%

Apneic oxygenation in pediatric anesthesia

Kleine‐Brueggeney

Grosshauser

Greif

2022

Current Opinion in Anaesthesiology

View full text Add to dashboard Cite

Purpose of reviewApneic oxygenation is increasingly used in pediatric anesthesia. Its benefit for specific applications depends on the effect of apneic oxygenation on safe apnea time and carbon dioxide (CO2) elimination, on differences between low and high flow oxygen delivery, and on possible adverse effects. The present review summarizes current evidence on these pathophysiological aspects of apneic oxygenation as well as its applications in pediatric anesthesia.Recent findingsApneic oxygenation with both low flow and high flow nasal oxygen increases the safe apnea time, but does not lead to increased CO2 elimination. Airway pressures and adverse effects like atelectasis formation, oxidative stress and aerosol generation under apneic oxygenation are not well studied in pediatric anesthesia. Data from adults suggest no important effect on airway pressures when the mouth is open, and no significant formation of atelectasis, oxidative stress or aerosol generation with high flow nasal oxygen.SummaryApneic oxygenation in pediatric anesthesia is mainly used during standard and difficult airway management. It is sometimes used for airway interventions, but CO2 accumulation remains a major limiting factor in this setting. Reports highlight the use of high flow nasal oxygen in spontaneously breathing rather than in apneic children for airway interventions.

show abstract

“…46 Still, it seems reasonable to avoid a high-flow nasal cannula for this particular procedure. 48 Our practice has changed to use a nonrebreather mask covered with a simple surgical mask. Potential complications, like gastric inflation and the device interfering with the visualization during laryngoscopy, have been described but in general, preoxygenation and apneic oxygenation are considered safe interventions.…”

Section: Acutely Ill Children Are Prone To Severe Hypoxemia-preoxygen...mentioning

confidence: 99%

Airway Management of Critically Ill Pediatric Patients with Suspected or Proven Coronavirus Disease 2019 Infection: An Intensivist Point of View

Díaz

Cruces

2021

J Pediatr Intensive Care

View full text Add to dashboard Cite

Advanced airway management of critically ill children is crucial for novel coronavirus disease 2019 (COVID-19) management in the pediatric intensive care unit, whether due to shock and hemodynamic collapse or acute respiratory failure. In this article, intubation is challenging due to the particularities of children's physiology and the underlying disease's pathophysiology, especially when an airborne pathogen, like COVID-19, is present. Unfortunately, published recommendations and guidelines for COVID-19 in pediatrics do not address in-depth endotracheal intubation in acutely ill children. We discussed the caveats and pitfalls of intubation in critically ill children.

show abstract

Use of a High-Flow Nasal Cannula in a Child With a Functional Single Ventricle and Difficult Airway

Cited by 3 publications

References 20 publications

Airway Management for Massive Anterior Mediastinal Tumor Resection in an Infant: A Strategy Involving Spontaneous Breathing‐Preserving Endotracheal Intubation under Intravenous Anesthesia

Airway Management for Massive Anterior Mediastinal Tumor Resection in an Infant: A Strategy Involving Spontaneous Breathing‐Preserving Endotracheal Intubation under Intravenous Anesthesia

Apneic oxygenation in pediatric anesthesia

Airway Management of Critically Ill Pediatric Patients with Suspected or Proven Coronavirus Disease 2019 Infection: An Intensivist Point of View

Contact Info

Product

Resources

About