Apneic Technique in Laryngotracheal Surgery.

airway mangement apneic oxygenation laryngotracheal surgery thyroplasty voice disorder

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Jan 2022
Historique:
accepted: 23 01 2022
entrez: 1 3 2022
pubmed: 2 3 2022
medline: 2 3 2022
Statut: epublish

Résumé

Background Apneic oxygenation can be applied to select laryngotracheal procedures to improve operative visualization and avoid potential complications associated with intubation and jet ventilation.  Aims/objectives The authors sought to determine if apneic oxygenation using a high-flow nasal cannula could be used as a safe alternative airway management strategy for the duration of select laryngotracheal procedures. Methods Single institution, multi-site retrospective review of 38 adult (>18 years old) patients undergoing apneic oxygenation in the setting of various laryngotracheal procedures from January 2017 through January 2018. Humidified oxygen was delivered via a high-flow nasal cannula. The data was collected and analyzed using SAS version 9.4 (SAS Institute, Cary, NC). Results Twenty-four women and 14 men, mean age 60.0 years (SD 16.1; 36-89) and 70.1 years (SD 7.2; 56-81), respectively, underwent a mean total apneic time of 23.9 minutes (13-40). A statistically significant correlation existed between apneic time and minimum oxygen saturation (Pearson correlation coefficient 0.38; p=0.018). Twenty-one patients resumed spontaneous ventilation without the need for jet ventilation, mask ventilation, or placement of a definitive airway during the procedure.  Conclusions and significance Apneic oxygenation allows for extended periods of operating without the need for the placement of an endotracheal tube in patients undergoing general anesthesia for select laryngotracheal procedures.

Identifiants

pubmed: 35228942
doi: 10.7759/cureus.21584
pmc: PMC8873441
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e21584

Informations de copyright

Copyright © 2022, Rutt et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Amy L Rutt (AL)

Otolaryngology, Mayo Clinic Alix School of Medicine, Jacksonville, USA.

Klaus D Torp (KD)

Anesthesiology and Perioperative Medicine, Mayo Clinic, Jacksonville, USA.

Terrance Zimmermann (T)

Otolaryngology, Grand Strand Health, Myrtle Beach, USA.

Paul Warner (P)

Anesthesiology, Mayo Clinic, Rochester, USA.

Roger Hofer (R)

Anesthesiology, Mayo Clinic, Rochester, USA.

Jonathan E Charnin (JE)

Anesthesiology, Mayo Clinic, Rochester, USA.

Dale Ekbom (D)

Otolaryngology, Mayo Clinic, Rochester, USA.

Classifications MeSH