全身麻醉下剖宫产术前经鼻湿化快速充气通气交换进行预充氧：一例报告

Transnasal Humidified Rapid-Insufflation Ventilatory Exchange for Preoxygenation Before Cesarean Delivery Under General Anesthesia: A Case Report.

作者信息

Hengen Maryse, Willemain Rosalie, Meyer Alain, Langer Bruno, Joshi Girish P, Diemunsch Pierre

机构信息

From the *Service d'Anesthésie-Réanimation Chirurgicale and †Service de Gynécologie-Obstétrique, Hôpitaux Universitaires, Strasbourg, France; and ‡Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas.

出版信息

A A Case Rep. 2017 Oct 1;9(7):216-218. doi: 10.1213/XAA.0000000000000571.

DOI:10.1213/XAA.0000000000000571

PMID:28604467

Abstract

Transnasal humidified rapid-insufflation ventilatory exchange has been shown to improve oxygenation and increase apnea time in difficult airway cases. It may also be beneficial in patients vulnerable to rapid desaturation due to limited pulmonary reserve. We report the use of transnasal humidified rapid-insufflation ventilatory exchange for preoxygenation before a cesarean delivery under general anesthesia in a patient with respiratory distress because of pneumonia and heart failure from severe mitral stenosis. To our knowledge, the use of this technique has not been previously reported in pregnant patients.

摘要

经鼻湿化快速充气通气交换已被证明在困难气道病例中可改善氧合并延长呼吸暂停时间。对于因肺储备有限而容易快速出现氧饱和度下降的患者，它可能也有益处。我们报告了在一名因严重二尖瓣狭窄导致肺炎和心力衰竭而出现呼吸窘迫的患者全身麻醉下行剖宫产术前，使用经鼻湿化快速充气通气交换进行预给氧的情况。据我们所知，此前尚未有关于该技术在孕妇中应用的报道。