2018, Number 3
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An Med Asoc Med Hosp ABC 2018; 63 (3)
High-flow oxygen through nasal cannula in the management of difficult airway
Benatar-Puente F, Chávez-Ramírez MA, Ortega-Ponce FEE, Galaviz-Oñate D
Language: Spanish
References: 20
Page: 194-198
PDF size: 227.88 Kb.
ABSTRACT
The gold standard for managing the predicted difficult airway is the use of a fiberoptic device; nevertheless, it is a procedure that is not exempt of presenting episodes of desaturation. We report a case in which we used a high-flow nasal cannula device to increase and maintain the oxaemia in a patient with a known difficult airway to be intubated awake with a fiberoptic bronchoscope. The patient was intubated successfully with the technique described and the airway was secured without complications. The high-flow nasal cannula is a very useful resource to increase the patient’s safety while carrying out fiberoptic intubations in patients with known or suspected difficult airways. We were able to give a conscious sedation to the patient without complications.
REFERENCES
Cook TM, MacDougall-Davis SR. Complications and failure of airway management. Br J Anaesth. 2012; 109 Suppl 1: i68-i85.
Nishimura M. High-flow nasal cannula oxygen therapy in adults. J Intensive Care. 2015; 3 (1): 15.
Groves N, Tobin A. High flow nasal oxygen generates positive airway pressure in adult volunteers. Aust Crit Care. 2007; 20 (4): 126-131.
Corley A, Caruana LR, Barnett AG, Tronstad O, Fraser JF. Oxygen delivery through high-flow nasal cannulae increase end-expiratory lung volume and reduce respiratory rate in post-cardiac surgical patients. Br J Anaesth. 2011; 107 (6): 998-1004.
Lenglet H, Sztrymf B, Leroy C, Brun P, Dreyfuss D, Ricard JD. Humidified high flow nasal oxygen during respiratory failure in the emergency department: feasibility and efficacy. Respir Care. 2012; 57 (11): 1873-1878.
Lucangelo U, Vassallo FG, Marras E, Ferluga M, Beziza E, Comuzzi L et al. High-flow nasal interface improves oxygenation in patients undergoing bronchoscopy. Crit Care Res Pract. 2012; 2012: 506382.
Roca O, Pérez-Terán P, Masclans JR, Pérez L, Galve E, Evangelista A et al. Patients with New York Heart Association class III heart failure may benefit with high flow nasal cannula supportive therapy: high flow nasal cannula in heart failure. J Crit Care. 2013; 28 (5): 741-746.
Maggiore SM, Idone FA, Vaschetto R, Festa R, Cataldo A, Antonicelli F et al. Nasal high-flow versus Venturi mask oxygen therapy after extubation. Effects on oxygenation, comfort, and clinical outcome. Am J Respir Crit Care Med. 2014; 190 (3): 282-288.
Bräunlich J, Beyer D, Mai D, Hammerschmidt S, Seyfarth HJ, Wirtz H. Effects of nasal high flow on ventilation in volunteers, COPD and idiopathic pulmonary fibrosis patients. Respiration. 2013; 85 (4): 319-325.
Miguel-Montanes R, Hajage D, Messika J, Bertrand F, Gaudry S, Rafat C et al. Use of high-flow nasal cannula oxygen therapy to prevent desaturation during tracheal intubation of intensive care patients with mild-to-moderate hypoxemia. Crit Care Med. 2015; 43 (3): 574-583.
Frat JP, Thille AW, Mercat A, Girault C, Ragot S, Perbet S et al. High-flow oxygen through nasal cannula in acute hypoxemic respiratory failure. N Engl J Med. 2015; 372 (23): 2185-2196.
Heidegger T, Gerig HJ, Ulrich B, Schnider TW. Structure and process quality illustrated by fibreoptic intubation: analysis of 1612 cases. Anaesthesia. 2003; 58 (8): 734-739.
Apfelbaum JL, Hagberg CA, Caplan RA, Blitt CD, Connis RT, Nickinovich DG et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 2013; 118 (2): 251-270.
Orozco-Díaz E, Álvarez-Ríos JJ, Arceo-Díaz JL, Ornelas-Aguirre JM. Predicción de intubación difícil mediante escalas de valoración de la vía aérea. Cir Cir. 2010; 78 (5): 393-399.
Riad W, Vaez MN, Raveendran R, Tam AD, Quereshy FA, Chung F et al. Neck circumference as a predictor of difficult intubation and difficult mask ventilation in morbidly obese patients: A prospective observational study. Eur J Anaesthesiol. 2016; 33 (4): 244-249.
Kurtipek O, Isik B, Arslan M, Unal Y, Kizil Y, Kemaloglu Y. A study to investigate the relationship between difficult intubation and prediction criterion of difficult intubation in patients with obstructive sleep apnea syndrome. J Res Med Sci. 2012; 17 (7): 615-620.
Chung SA, Yuan H, Chung F. A systemic review of obstructive sleep apnea and its implications for anesthesiologists. Anesth Analg. 2008; 107 (5):1543-1563.
Afonso J, Reis F. Dexmedetomidine: current role in anesthesia and intensive care. Rev Bras Anestesiol. 2012; 62 (1): 118-133.
Liu HH, Zhou T, Wei JQ, Ma WH. Comparison between remifentanil and dexmedetomidine for sedation during modified awake fiberoptic intubation. Exp Ther Med. 2015; 9 (4): 1259-1264.
Patel A, Nouraei SA. Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE): a physiological method of increasing apnoea time in patients with difficult airways. Anaesthesia. 2015; 70 (3): 323-329.