Use of a trans-tracheal rapid insufflation of oxygen device in a “cannot intubate, cannot oxygenate” scenario in a parturient: a case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 381-384, 2019.
Article
in English
| WPRIM
| ID: wpr-759545
ABSTRACT
BACKGROUND:
The trans-tracheal rapid insufflation of oxygen (TRIO) device is less commonly used and is an alternative to trans-tracheal jet ventilation for maintaining oxygenation in a “cannot intubate, cannot oxygenate” (CICO) scenario. CASE We report the successful use of this device to maintain oxygenation after jet ventilator failure in a parturient who presented with the CICO scenario during the procedure for excision of laryngeal papilloma.CONCLUSIONS:
A stepwise approach to the airway plan and preparation for an event of failure is essential for good materno-fetal outcomes. The TRIO device may result in inadequate ventilation that can lead to hypercarbia and respiratory acidosis. Hence, it should only be used as a temporizing measure before a definitive airway can be secured.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Oxygen
/
Papilloma
/
Acidosis, Respiratory
/
Ventilation
/
High-Frequency Jet Ventilation
/
Insufflation
/
Ventilators, Mechanical
/
Airway Obstruction
/
Airway Management
/
Anesthesia, Obstetrical
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2019
Type:
Article
Similar
MEDLINE
...
LILACS
LIS