Lee Min Ho, Kim Hyun Joo
Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, South Korea.
SAGE Open Med Case Rep. 2021 Apr 20;9:2050313X211010015. doi: 10.1177/2050313X211010015. eCollection 2021.
In difficult airway situations, the next step of the airway management method is selected according to the prior presence of difficulties in mask ventilation and endotracheal intubation. It is important for the practitioner to be calm, quick in judgment, and take action in cases of difficult intubation. Recently, high-flow nasal oxygenation has been rapidly introduced into the anesthesiology field. This technique could extend the safe apnea time to desaturation. Especially, it maintains adequate oxygenation even in apnea and allows time for intubation or alternative airway management. We report two cases in which high-flow nasal oxygenation was implemented in the middle of the induction process after quick judgment by clinicians. High-flow nasal oxygenation was successfully used to assist in prolonging the safe apnea time during delicate airway securing attempts.
在困难气道情况下，根据面罩通气和气管插管先前存在的困难来选择气道管理方法的下一步。对于从业者来说，在遇到困难插管时保持冷静、快速判断并采取行动很重要。最近，高流量鼻导管给氧已迅速引入麻醉领域。这项技术可以将安全无呼吸时间延长至出现血氧饱和度下降。特别是，它即使在无呼吸状态下也能维持足够的氧合，并为插管或其他气道管理留出时间。我们报告两例临床医生快速判断后在诱导过程中实施高流量鼻导管给氧的病例。高流量鼻导管给氧成功用于协助在精细的气道建立尝试过程中延长安全无呼吸时间。
