房间隔心室间隔缺损所致重度肺动脉高压患者支气管镜检查期间的经鼻湿化快速充气通气交换
Transnasal humidified rapid insufflation ventilatory exchange during bronchoscopy in severe pulmonary hypertension due to Gerbode defect.
作者信息
Upperman Lucas, Gildea Thomas, Galway Ursula
机构信息
Department of Anesthesiology Cleveland Clinic Foundation Cleveland OH USA.
Department of Pulmonary Medicine Cleveland Clinic Foundation Cleveland OH USA.
出版信息
Respirol Case Rep. 2020 Mar 4;8(3):e00519. doi: 10.1002/rcr2.519. eCollection 2020 Apr.
Abstract
Transnasal humidified rapid insufflation ventilatory exchange (THRIVE) has been shown to prevent desaturation and prolong apnoeic time in the perioperative setting. Previously, pulmonary hypertension was not studied using this technique, due to concern for hypercapnia and resultant transient worsening of mean pulmonary artery pressure. We describe a patient with severe pulmonary hypertension (mean pulmonary artery pressure of 82 mmHg) who underwent bronchoscopy using deep sedation with THRIVE. There were no recorded desaturation events and no post-operative signs of hypercapnia. This case report demonstrates a novel use of THRIVE in a patient with severe pulmonary hypertension.
摘要
经鼻湿化快速吹气通气交换（THRIVE）已被证明可在围手术期预防去饱和并延长呼吸暂停时间。此前，由于担心高碳酸血症以及由此导致的平均肺动脉压短暂恶化，未使用该技术对肺动脉高压进行研究。我们描述了一名患有严重肺动脉高压（平均肺动脉压为82mmHg）的患者，该患者在深度镇静下使用THRIVE进行了支气管镜检查。未记录到去饱和事件，也没有术后高碳酸血症的迹象。本病例报告展示了THRIVE在严重肺动脉高压患者中的一种新用途。
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