Anesthetic management in a patient with severe tracheal stenosis by monitoring oxygen reserve index.

General anesthesia IPV® ORi™ Respiratory management Tracheal stent placement

Journal

JA clinical reports
ISSN: 2363-9024
Titre abrégé: JA Clin Rep
Pays: Germany
ID NLM: 101682121

Informations de publication

Date de publication:
15 Sep 2022
Historique:
received: 17 05 2022
accepted: 30 08 2022
revised: 27 08 2022
entrez: 15 9 2022
pubmed: 16 9 2022
medline: 16 9 2022
Statut: epublish

Résumé

General anesthesia for tracheal stenting is challenging because of difficult ventilation and accompanying hypoxia. We report the use of oxygen reserve index (ORi™) during tracheal stenting. Cauterization of an intratracheal tumor and tracheal stenting was scheduled in a patient. ORi decreased from 0.3 to 0.2 after starting cauterization using a flexible bronchoscope through a tracheal tube with 28% oxygen, while SpO ORi was useful for predicting a decrease of SpO

Sections du résumé

BACKGROUND BACKGROUND
General anesthesia for tracheal stenting is challenging because of difficult ventilation and accompanying hypoxia. We report the use of oxygen reserve index (ORi™) during tracheal stenting.
CASE PRESENTATION METHODS
Cauterization of an intratracheal tumor and tracheal stenting was scheduled in a patient. ORi decreased from 0.3 to 0.2 after starting cauterization using a flexible bronchoscope through a tracheal tube with 28% oxygen, while SpO
CONCLUSION CONCLUSIONS
ORi was useful for predicting a decrease of SpO

Identifiants

pubmed: 36107332
doi: 10.1186/s40981-022-00562-z
pii: 10.1186/s40981-022-00562-z
pmc: PMC9477987
doi:

Types de publication

Journal Article

Langues

eng

Pagination

73

Informations de copyright

© 2022. The Author(s).

Références

Anesth Analg. 2016 Sep;123(3):626-33
pubmed: 27007078
J Clin Monit Comput. 2018 Jun;32(3):379-389
pubmed: 28791567
Lung. 2015 Aug;193(4):453-65
pubmed: 25921014
Anesthesiology. 2016 Apr;124(4):750-1
pubmed: 26978141
Br J Anaesth. 2003 Mar;90(3):367-74
pubmed: 12594151
PLoS One. 2021 Jul 28;16(7):e0255005
pubmed: 34320018
Minerva Anestesiol. 2018 Sep;84(9):1063-1069
pubmed: 29756744
Anesthesiol Clin. 2010 Mar;28(1):157-74
pubmed: 20400046
Lancet. 2006 Apr 8;367(9517):1124-6
pubmed: 16616545
Paediatr Anaesth. 2014 Oct;24(10):1023-30
pubmed: 24975102
Anesth Analg. 2019 Aug;129(2):409-415
pubmed: 30138170
Respir Care. 2007 Sep;52(9):1224-35; discussion 1235-7
pubmed: 17716388
Anesthesiology. 2016 Apr;124(4):779-84
pubmed: 26978143
J Clin Monit Comput. 2019 Dec;33(6):1011-1014
pubmed: 30519896

Auteurs

Sho Matsuba (S)

Department of Anesthesiology, Kanazawa Medical University, 1-1, Daigaku, Uchinada-cho, Kahoku-gun Ishikawa, 920-0293, Japan. sho-8200@kanazawa-med.ac.jp.

Mitsuki Sawai (M)

Department of Anesthesiology, Kanazawa Medical University, 1-1, Daigaku, Uchinada-cho, Kahoku-gun Ishikawa, 920-0293, Japan.

Saki Higashitani (S)

Department of Anesthesiology, Kanazawa Medical University, 1-1, Daigaku, Uchinada-cho, Kahoku-gun Ishikawa, 920-0293, Japan.

Fumiya Sawasaki (F)

Department of Anesthesiology, Kanazawa Medical University, 1-1, Daigaku, Uchinada-cho, Kahoku-gun Ishikawa, 920-0293, Japan.

Hiromasa Kida (H)

Department of Anesthesiology, Kanazawa Medical University, 1-1, Daigaku, Uchinada-cho, Kahoku-gun Ishikawa, 920-0293, Japan.

Kan Takahashi (K)

Department of Anesthesiology, Kanazawa Medical University, 1-1, Daigaku, Uchinada-cho, Kahoku-gun Ishikawa, 920-0293, Japan.

Classifications MeSH