High-flow nasal cannula oxygenation during interventional bronchoscopy in a patient with severe tracheal stenosis

Kurose, Hitomi; Seki, Hiroyuki; Ideno, Satoshi; Kato, Jungo; Morisaki, Hiroshi

doi:10.1016/j.jclinane.2018.02.008

Cited by 6 publications

(4 citation statements)

References 4 publications

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“…[4][5][6][7] Reported cases of HFNC use include patients with respiratory disorder or exacerbation of bronchitis or pneumonia due to chronic disease, 8 airway narrowing after surgery for laryngeal granuloma, 9 postoperative management of congenital heart disease, 10 and use for low-invasive procedures and tests performed under sedation. [4][5][6]11 HFNC is indicated for a wide range of respiratory disorders, and based on these reports, it may be useful in the perioperative respiratory management of children, especially those with severe mental and physical disabilities.…”

Section: Discussionmentioning

confidence: 99%

High‐flow nasal cannula oxygen therapy for respiratory management after postoperative re‐intubation/re‐extubation in patients with trisomy 18 and trisomy 13: Two case reports

Hirano

Taniguchi

Kato

2023

Clinical Case Reports

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Trisomy 18 and Trisomy 13 are associated with a variety of complications, including severe mental retardation and congenital heart disease, as well as extremely poor prognosis, which has generally precluded aggressive medical intervention in these patients. However, recent reports 1,2 show that various aggressive medical interventions such as cardiovascular surgery that can improve prognosis have led to increasing opportunities for these patients to undergo general anesthesia and intensive care. We report our experience with high-flow nasal canula (HFNC) oxygen therapy for respiratory management after postoperative re-intubation/re-extubation in two patients with trisomy 18 and trisomy 13.This article adheres to the Case Report guidelines. | CASE DESCRIPTION | Case 1The female patient was aged 2 years and 3 months with a height of 71.8 cm and a weight of 5.35 kg. She had trisomy 18 with mental retardation, interventricular septum defect, interatrial septum defect, patent ductus arteriosus, and pulmonary hypertension. No surgery was performed for these anomalies and only laparoscopic gastrostomy was performed this time.General anesthesia was induced slowly with sevoflurane and maintained with air, oxygen, sevoflurane, and remifentanil. Anticipating difficulty in intubation due to micrognathia, cervical spinal deformity, limited mandibular elevation, and leftward deviation of the head and

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Section: Discussionmentioning

confidence: 99%

High‐flow nasal cannula oxygen therapy for respiratory management after postoperative re‐intubation/re‐extubation in patients with trisomy 18 and trisomy 13: Two case reports

Hirano

Taniguchi

Kato

2023

Clinical Case Reports

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“…While attempting tracheal intubation, oxygen cannot be delivered through a facemask, which might cause desaturation, especially in severe hypoxemia patients. While HFNC has been used in critical care medicine, it has recently gained attention for its potential roles in perioperative settings [1][2][3]. HFNC has several advantages over conventional oxygen devices.…”

Section: Hiroyuki Seki * Yoshihiko Deguchi Tomomi Ogihara and Takamentioning

confidence: 99%

Successful oxygenation during anesthesia induction using a high-flow nasal cannula in a patient with severe hypoxemia due to lung cancer

et al. 2020

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“…1,2 There is considerable variation of airway management strategies and operative ventilation techniques across centers, including awake tracheotomy, fiberoptic intubation, intermittent intubation with apneic intervention, transnasal humidified rapid-insufflation ventilation exchange, and jet ventilation, among others. [3][4][5] Jet ventilation is a ventilatory technique in which a catheter passes a thin, high velocity stream of air into the lungs followed by passive exhalation. 6 Jet ventilation offers several advantages for endoluminal airway surgery, including improved surgical exposure from lack of an obscuring endotracheal tube and reduced surgical time as ventilation can occur concurrent with the procedure.…”

Section: Introductionmentioning

confidence: 99%

“…Due to the nature of the airway obstruction, these patients are often difficult or impossible to intubate at induction of anesthesia, resulting in significant intraoperative and postoperative risk of respiratory complications 1,2 . There is considerable variation of airway management strategies and operative ventilation techniques across centers, including awake tracheotomy, fiberoptic intubation, intermittent intubation with apneic intervention, transnasal humidified rapid‐insufflation ventilation exchange, and jet ventilation, among others 3–5 …”

Section: Introductionmentioning

confidence: 99%

Multi‐Institutional Analysis of Outcomes in Supraglottic Jet Ventilation with a Team‐Based Approach

et al. 2021

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Objectives/Hypothesis: To evaluate the safety and complications of endoscopic airway surgery using supraglottic jet ventilation with a team-based approach.Study Design: Retrospective cohort study.Methods: Subjects at two academic institutions diagnosed with laryngotracheal stenosis who underwent endoscopic airway surgery with jet ventilation between January 2008 and December 2018 were identified. Patient characteristics (age, gender, race, follow-up duration) and comorbidities were extracted from the electronic health record. Records were reviewed for treatment approach, intraoperative data, and complications (intraoperative, acute postoperative, and delayed postoperative).Results: Eight hundred and ninety-four patient encounters from 371 patients were identified. Intraoperative complications (unplanned tracheotomy, profound or severe hypoxic events, barotrauma, laryngospasm) occurred in fewer than 1% of patient encounters. Acute postoperative complications (postoperative recovery unit [PACU] rapid response, PACU intubation, return to the emergency department [ED] within 24 hours of surgery) were rare, occurring in fewer than 3% of patient encounters. Delayed postoperative complications (return to the ED or admission for respiratory complaints within 30 days of surgery) occurred in fewer than 1% of patient encounters. Diabetes mellitus, active smoking, and history of previous tracheotomy were independently associated with intraoperative, acute, and delayed complications.Conclusions: Employing a team-based approach, jet ventilation during endoscopic airway surgery demonstrates a low rate of complications and provides for safe and successful surgery.

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High-flow nasal cannula oxygenation during interventional bronchoscopy in a patient with severe tracheal stenosis

Cited by 6 publications

References 4 publications

High‐flow nasal cannula oxygen therapy for respiratory management after postoperative re‐intubation/re‐extubation in patients with trisomy 18 and trisomy 13: Two case reports

High‐flow nasal cannula oxygen therapy for respiratory management after postoperative re‐intubation/re‐extubation in patients with trisomy 18 and trisomy 13: Two case reports

Successful oxygenation during anesthesia induction using a high-flow nasal cannula in a patient with severe hypoxemia due to lung cancer

Multi‐Institutional Analysis of Outcomes in Supraglottic Jet Ventilation with a Team‐Based Approach

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