계명대학교 의학도서관 Repository

Addressing desaturation in a tracheal stenosis patient using the transnasal humidified rapid-insufflation ventilatory exchange technique during tracheostomy: A case report

Metadata Downloads
Author(s)
Sou Hyun LeeEunyoung ChoJi Hoon ParkJae Yun LeeJi Hee HongHyeji Han
Keimyung Author(s)
Park, Ji HoonLee, Jae YunHong, Ji Hee
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
Medicine (Baltimore)
Issued Date
2023
Volume
102
Issue
31
Abstract
Rationale:
Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) is used in tracheostomy but not in cases of airway obstruction. This case report explores the use of THRIVE for managing airway obstruction during tracheostomy in patients with subglottic and tracheal stenosis, thereby addressing the current knowledge gap and exploring its potential for airway management.

Patient concerns:
A 63-year-old female with subglottic and tracheal stenoses underwent tracheostomy. Multiple attempts to establish a patent airway were unsuccessful, and oxygen saturation dropped to 56%.

Diagnosis:
Endotracheal tube was directed toward the tracheal wall, causing airway obstruction.

Interventions:
THRIVE was administered to the patient. Subsequently, the tube position was adjusted to enhance ventilation.

Outcomes:
The patient's oxygen saturation increased to 99%. The postoperative complications, including subcutaneous emphysema, pneumothorax, pneumomediastinum and pneumopericardium, resolved. The patient was discharged on postoperative day 9.

Lessons:
THRIVE could be considered a temporary measure to enhance oxygenation before initiating a definitive treatment strategy.
Keimyung Author(s)(Kor)
박지훈
이재윤
홍지희
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
1536-5964
Source
https://journals.lww.com/md-journal/fulltext/2023/08040/addressing_desaturation_in_a_tracheal_stenosis.9.aspx
DOI
10.1097/MD.0000000000034567
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/45279
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Authorize & License
  • Authorize공개
Files in This Item:

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.