SuperNOVA Nasal Mask Ventilation Maintains Oxygenation during Deep Sedation in High-Risk Patients: A Case Series

Kozinn, Rachel; Foley, Lorraine J.; Feinleib, Jessica

doi:10.17140/rpaoj-3-119

Cited by 6 publications

(2 citation statements)

References 11 publications

(14 reference statements)

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“…OSA predisposes patients to desaturation due to frequent UAO. Mouth breathing is associated with increased OSA severity, worse oximetric variables, and higher BMI due to lateral pharyngeal wall collapse and tongue base collapse [21]. Practice guidelines for perioperative management from the ASA mandate that ventilation should always be closely monitored using capnography [9,22].…”

Section: Pre-procedures Strategy: Can We Better Forecast Patients’ Pu...mentioning

confidence: 99%

Prevention of pulmonary complications in sedated patients undergoing interventional procedures in the nonoperating room anesthesia setting

Urdaneta¹,

Wardhan²,

Wells³

et al. 2022

Current Opinion in Anaesthesiology

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Purpose of reviewNonoperating room anesthesia (NORA) procedures have expanded in number, variety, and complexity. NORA involves all age groups, including frail older adults and patients often considered too sick to tolerate traditional surgical interventions. Postoperative pulmonary complications are a significant source of adverse events in the perioperative setting. We present a review focused on preventing pulmonary complications in the interventional NORA setting. Recent findingsNORA locations should function as independent, autonomous ambulatory units. We discuss a strategic plan involving a thorough preoperative evaluation of patients, including recognizing high-risk patients and their anesthetic management. Finally, we offer guidance on the challenges of conducting sedation and anesthesia in patients with coronavirus disease 2019 (COVID-19) or a history of COVID-19.

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Section: Pre-procedures Strategy: Can We Better Forecast Patients’ Pu...mentioning

confidence: 99%

Prevention of pulmonary complications in sedated patients undergoing interventional procedures in the nonoperating room anesthesia setting

Urdaneta¹,

Wardhan²,

Wells³

et al. 2022

Current Opinion in Anaesthesiology

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“…The novel SuperNO 2 VA™ device provides high FiO 2 and PEEP using wall oxygen through a non-vented, sealed nasal mask [12]. This device demonstrated efficacy in providing positive pressure and decreasing hypoxemia in high-risk patients, making its use a potential first step prior to mechanical ventilation in patients with COVID-19 [13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Comparative Efficacy of Aerosolized Particle Filtration by Non-Invasive Ventilation Modalities: Simulation of SARS-CoV-19 Transmission

Cataldo¹

2020

AJBSR

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Introduction:Patients with COVID-19 with severe respiratory disease may require non-invasive ventilation (NIV) devices, and selection should consider the greatest ability to reduce coronavirus-sized particles aerosolization. The objective of this study was to characterize the aerosolization of coronavirus-sized particles using different oxygen delivery systems. Methods:To simulate real-life clinical scenarios, a surrogate head with adult morphology within an airtight containment box reproduced Nasalonly (N) and Nasal/Oral (N/O) Normal Breathing as well as Coughing for six respiratory support devices: SuperNO2VA with and without HEPA filter; High-Flow Nasal Cannula (HFNC); Non-Rebreather; NV-NIV Mask, both single-and dual-limb; and no device.Results: Fit Factor between devices significantly differed (P<0.0001) but not between Normal Breathing and Coughing (P=0.15). SuperNO2VA with HEPA (N) and NV-NIV Mask with single-limb circuit each had significantly larger FF compared to all other devices (P<0.005). SuperNO2VA without HEPA (N), Non-Rebreather, and NV-NIV Mask with dual-limb circuit had no significant differences between FFs (P=1.0). SuperNO2VA with HEPA (N/O), SuperNO2VA without HEPA (N/O), and HFNC had significantly lower FF than other devices (P<0.05). Conclusion:This model demonstrated in NIV settings the most important factor for minimizing particle spread is a strong mask seal. The SuperNO2VA device offered the strongest mask seal among those tested but, remains ineffective at trapping particles during oral breathing or coughing. Use of SuperNO2VA with a surgical mask can be safely used on patients with COVID-19 with no further risk of transmission.

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Novel Oxygenation Techniques for Airway Management

Foley

2020

Curr Anesthesiol Rep

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SuperNOVA Nasal Mask Ventilation Maintains Oxygenation during Deep Sedation in High-Risk Patients: A Case Series

Cited by 6 publications

References 11 publications

Prevention of pulmonary complications in sedated patients undergoing interventional procedures in the nonoperating room anesthesia setting

Prevention of pulmonary complications in sedated patients undergoing interventional procedures in the nonoperating room anesthesia setting

Comparative Efficacy of Aerosolized Particle Filtration by Non-Invasive Ventilation Modalities: Simulation of SARS-CoV-19 Transmission

Novel Oxygenation Techniques for Airway Management

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