经气管使用CriCath套管联合Ventrain装置预防严重上气道梗阻导致的缺氧性心跳骤停：一例报告

Transtracheal Use of the CriCath Cannula in Combination With the Ventrain Device for Prevention of Hypoxic Arrest due to Severe Upper Airway Obstruction: A Case Report.

作者信息

Heuveling Derrek A, Mahieu Hans F, Jongsma-van Netten Hinke G, Gerling Volker

机构信息

From the Department of Otorhinolaryngology, Meander Medical Center, Amersfoort, the Netherlands.

Departments of Intensive Care.

出版信息

A A Pract. 2018 Dec 15;11(12):344-347. doi: 10.1213/XAA.0000000000000823.

DOI:10.1213/XAA.0000000000000823

PMID:29965818

Abstract

A patient recently treated with surgery and radiation for oropharyngeal cancer presented with impending hypoxic respiratory and cardiac arrest in a difficult airway scenario. A CriCath cannula in combination with the Ventrain device and its active expiratory ventilation technology enabled oxygenation and ventilation for 60 minutes until a surgical airway was established. This case report is the first to describe the intended use of Ventrain technology in an emergent "can't ventilate-can't intubate" scenario.

摘要

一名近期接受口咽癌手术及放疗的患者，在困难气道情况下出现即将发生的缺氧性呼吸和心脏骤停。一根CriCath套管与Ventrain装置及其主动呼气通气技术相结合，实现了60分钟的氧合和通气，直至建立手术气道。本病例报告首次描述了Ventrain技术在紧急“无法通气-无法插管”情况下的预期用途。