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A novel application of Transnasal Humidified Rapid Insufflation Ventilatory Exchange via the oral route in morbidly obese patient during monitored anesthesia care - A case report -

Anesthesia and Pain Medicine 2020년 15권 4호 p.505 ~ 509
정재웅, 정양훈, 채원석,
소속 상세정보
정재웅 ( Jung Jae-Woong ) - Soonchunhyang University College of Medicine Soonchunhyang University Bucheon Hospital Department of Anesthesiology and Pain Medicine
정양훈 ( Chung Yang-Hoon ) - Soonchunhyang University College of Medicine Soonchunhyang University Bucheon Hospital Department of Anesthesiology and Pain Medicine
채원석 ( Chae Won-Seok ) - Soonchunhyang University College of Medicine Soonchunhyang University Bucheon Hospital Department of Anesthesiology and Pain Medicine

Abstract


Background: Transnasal Humidified Rapid Insufflation Ventilatory Exchange (THRIVE) is used to improve oxygenation, with the added benefit of a smaller increase in CO2 if self-respiration is maintained with THRIVE. Despite these advantages, the use of THRIVE through a nasal cannula is limited in situations such as epistaxis or a basal skull fracture.

Case: We successful used THRIVE, through the oral route under general anesthesia with spontaneous breathing in a morbidly obese patient (weight, 148 kg; height, 183 cm; body mass index, 44.2 kg/m2) who received transnasal steroid injections due to subglottic stenosis.

Conclusions: THRIVE through the oral route may be an effective novel option, although further studies are needed.

키워드

Airway management; Balanced anesthesia; Obesity, morbid; Otolaryngologic diseases

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