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3.
Rev Esp Anestesiol Reanim ; 56(5): 319-21, 2009 May.
Article in Spanish | MEDLINE | ID: mdl-19580136

ABSTRACT

Helium is a noble gas whose low density decreases airway resistance. This property is utilized when a mixture of helium and oxygen (heliox) is employed in certain clinical situations, particularly in the context of airway obstruction. We report the case of a woman with severe upper airway obstruction due to bilateral vocal cord paralysis after thyroidectomy. Heliox was used temporarily to reduce respiratory effort and avoid the need for tracheal intubation while the obstruction was being treated with antiinflammatory drugs.


Subject(s)
Airway Obstruction/drug therapy , Helium/therapeutic use , Oxygen Inhalation Therapy , Oxygen/therapeutic use , Postoperative Complications/drug therapy , Thyroidectomy , Vocal Cord Paralysis/etiology , Work of Breathing/drug effects , Airway Obstruction/etiology , Anti-Inflammatory Agents/therapeutic use , Deep Brain Stimulation , Dexamethasone/therapeutic use , Dyspnea/etiology , Emergencies , Female , Helium/pharmacology , Humans , Laryngeal Edema/drug therapy , Laryngeal Edema/etiology , Middle Aged , Oxygen/pharmacology , Parkinson Disease/complications , Parkinson Disease/therapy , Postoperative Complications/etiology , Vocal Cord Paralysis/drug therapy
4.
Rev. esp. anestesiol. reanim ; 56(5): 319-321, mayo 2009.
Article in Spanish | IBECS | ID: ibc-72626

ABSTRACT

El helio es un gas noble que por su baja densidad disminuyela resistencia de la vía aérea. Esta propiedad,empleando una mezcla de helio y oxígeno (heliox), permiteque sea útil en determinadas situaciones clínicas,especialmente en las obstrucciones de vía aérea. Describimosel caso de una paciente que presentó un cuadro deobstrucción grave de la vía aérea superior debido a laparálisis bilateral de cuerdas vocales después de unatiroidectomía. El heliox se usó temporalmente para disminuirel esfuerzo respiratorio y evitar la intubaciónendotraqueal mientras mejoraba la obstrucción conantiinflamatorios(AU)


Helium is a noble gas whose low density decreasesairway resistance. This property is utilized when amixture of helium and oxygen (heliox) is employed incertain clinical situations, particularly in the context ofairway obstruction. We report the case of a woman withsevere upper airway obstruction due to bilateral vocalcord paralysis after thyroidectomy. Heliox was usedtemporarily to reduce respiratory effort and avoid theneed for tracheal intubation while the obstruction wasbeing treated with antiinflammatory drugs(AU)


Subject(s)
Humans , Female , Middle Aged , Airway Obstruction/drug therapy , Helium/therapeutic use , Oxygen/therapeutic use , Airway Obstruction/etiology , Oxygen Inhalation Therapy , Postoperative Complications/drug therapy , Thyroidectomy , Vocal Cord Paralysis/etiology , Work of Breathing , Anti-Inflammatory Agents/therapeutic use , Dexamethasone/therapeutic use , Dyspnea/etiology , Helium/pharmacology , Laryngeal Edema/drug therapy , Laryngeal Edema/etiology , Oxygen/pharmacology , Parkinson Disease/complications , Postoperative Complications/etiology , Vocal Cord Paralysis/drug therapy
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