高流量鼻导管吸氧在一名极度肥胖的新冠肺炎患者急诊剖腹手术气道管理中的疗效
Efficacy of HFNO during airway management of a COVID pneumonia patient with super morbid obesity undergoing emergency laparotomy.
作者信息
Hajnour Mohamed Sayed, Amlih Haneen Fawzi, Shabr Faisal Fahad Bin
机构信息
Anesthesia Department, King Saud University Medical City (KSUMC) King Saud University (KSU), Riyadh, Saudi Arabia.
出版信息
Saudi J Anaesth. 2022 Jul-Sep;16(3):368-370. doi: 10.4103/sja.sja_327_22. Epub 2022 Jun 20.
This case report describes the use of high flow nasal oxygen (HFNO) in a patient with morbid obesity (BMI = 90 kg/m) who underwent emergency laparotomy under general anesthesia. This 54-year-old female patient with American Society of Anesthesia classification 4 E is known to have COVID pneumonia with Obstuctive Sleep Apnea. She was admitted in the ICU for 3 days and she was on Bilevel Positive Airway Pressure (BiPAP) alternating with HFNO to keep her SpO 91%-92%, on FiO 60%, and respiratory rate (RR) 40-45/min. The plan for airway management was rapid sequence intubation with preoxygenation using the HFNO. We here report this case to show the usefulness of HFNO, which adds a new dimension in airway management of similar cases.
本病例报告描述了高流量鼻导管给氧（HFNO）在一名病态肥胖患者（BMI = 90 kg/m²）中的应用，该患者在全身麻醉下接受了急诊剖腹手术。这名54岁的女性患者，美国麻醉医师协会分级为4 E级，已知患有新冠肺炎并伴有阻塞性睡眠呼吸暂停。她在重症监护病房（ICU）住院3天，期间使用双水平气道正压通气（BiPAP）并交替使用HFNO，以维持其血氧饱和度（SpO₂）在91%-92%，吸入氧浓度（FiO₂）为60%，呼吸频率（RR）为40-45次/分钟。气道管理计划是使用HFNO进行预充氧后实施快速顺序诱导插管。我们在此报告该病例，以展示HFNO的实用性，它为类似病例的气道管理增添了新的维度。
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