A novel way of anesthetizing and maintaining airway/ventilation in an ultra-morbidly obese patient presenting for upper GI endoscopy

Goudra, Basavana Gouda; Penugonda, Lakshmi C

doi:10.1016/j.jclinane.2012.02.002

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Airway Devices Nasopharyngeal Airway1

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Cited by 4 publications

(2 citation statements)

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“…Techniques like application of high frequency jet ventilation are too cumbersome for everyday practice. [1011] Although endotracheal intubation remains the most reliable airway management strategy, an alternative means of positive pressure ventilation is desirable for EECP.…”

Section: Discussionmentioning

confidence: 99%

Goudra ventilating bite block to reduce hypoxemia during endoscopic retrograde cholangiopancreatography

Goudra¹,

Chandramouli

Singh

et al. 2014

Saudi J Anaesth

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Section: Discussionmentioning

confidence: 99%

Goudra ventilating bite block to reduce hypoxemia during endoscopic retrograde cholangiopancreatography

Goudra¹,

Chandramouli

Singh

et al. 2014

Saudi J Anaesth

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“…At the Hospital of the University of Pennsylvania, we have enormous success with this technique in a variety of patients scheduled to undergo various procedures including an array of advanced procedures. [20][21][22]…”

Section: Airway Devices Nasopharyngeal Airwaymentioning

confidence: 99%

Recent Developments in Devices Used for Gastrointestinal Endoscopy Sedation

Goudra

Gouda²,

Singh

2021

Clin Endosc

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Hypoxemia is a frequent and potentially fatal complication occurring in patients during gastrointestinal endoscopy. The administration of propofol sedation increases the risk of most complications, especially hypoxemia. Nevertheless, propofol has been increasingly used in the United States, and the trend is likely to increase in the years to come. Patient satisfaction and endoscopist satisfaction along with rapid turnover are some of the touted reasons for this trend. However, propofol sedation generally implies deep sedation or general anesthesia. As a result, hypopnea and apnea frequently occur. Inadequate sedation and presence of irritable airway often cause coughing and laryngospasm, both leading to hypoxemia and potential cardiac arrest. Hence, prevention of hypoxemia is of paramount importance. Traditionally, standard nasal cannula is used to administer supplement oxygen. However, it cannot sufficiently provide continuous positive airway pressure (CPAP) or positive pressure ventilation. Device manufacturers have stepped in to fill this void and created many types of cannulas that provide apneic insufflation of oxygen and CPAP and eliminate dead space. Such measures decrease the incidence of hypoxemia. This review aimed to provide essential information of some of these devices. Clin Endosc 2021 Mar 18.

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Airway Devices in GI Endoscopy

Goudra

Singh

2016

Out of Operating Room Anesthesia

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A novel way of anesthetizing and maintaining airway/ventilation in an ultra-morbidly obese patient presenting for upper GI endoscopy

Cited by 4 publications

References 4 publications

Goudra ventilating bite block to reduce hypoxemia during endoscopic retrograde cholangiopancreatography

Goudra ventilating bite block to reduce hypoxemia during endoscopic retrograde cholangiopancreatography

Recent Developments in Devices Used for Gastrointestinal Endoscopy Sedation

Airway Devices in GI Endoscopy

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