Cataldo Steven H, Mondal Samhati, Lester Laeben C, Hensley Nadia B
From the Department of Medical Affairs, Vyaire Medical, Mettawa, Illinois.
Department of Cardiothoracic Anesthesiology, The Johns Hopkins School of Medicine, Baltimore, Maryland.
A A Pract. 2019 Mar 1;12(5):160-164. doi: 10.1213/XAA.0000000000000872.
Upper airway obstruction during anesthesia is the leading cause of complications during sedation, intubation, and emergence. Devices to support oxygenation and ventilation are costly, require capital equipment, and cannot be used during transport. We present a 46-year-old man with sleep apnea and anticipated difficult airway undergoing a cardiac ablation under general endotracheal intubation. The SuperNO2VA nasal mask provided high-flow nasal oxygen and positive pressure during awake fiberoptic intubation and on extubation, maintaining airway patency in the operating room, during transport, and in recovery. The SuperNO2VA is inexpensive and portable and should be considered for high-risk patients with difficult airways.
麻醉期间上呼吸道梗阻是镇静、插管及苏醒过程中并发症的主要原因。支持氧合和通气的设备成本高昂，需要固定设备，且在转运过程中无法使用。我们报告一名46岁患有睡眠呼吸暂停且预计气道困难的男性，在全身气管插管下行心脏消融术。SuperNO2VA鼻面罩在清醒纤维支气管镜插管及拔管期间提供高流量鼻氧和正压通气，在手术室、转运过程及恢复期间维持气道通畅。SuperNO2VA价格低廉且便于携带，对于气道困难的高危患者应予以考虑。
