In a patient with a transtracheal oxygen catheter (ITO2C), a nearly fatal complication occurred due to the formation of a mucous plug on the tip, which almost totally obstructed the tracheal lumen. To our knowledge, this complication has not been reported before with the use of this type of transtracheal oxygen catheter.
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http://dx.doi.org/10.1378/chest.104.5.1634 | DOI Listing |
Korean J Anesthesiol
September 2024
Department of Anesthesiology and Pain Medicine, and Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea.
Background: The Rapid-O2 oxygen insufflation device® (Rapid-O2) was designed primarily for rescue oxygenation in cannot intubate, cannot oxygenate (CICO) events; thus, hypercapnia is inevitable. Rapid-O2 was modified to enhance ventilation using the Venturi effect during expiration.
Methods: To determine the most effective combination of inner catheters (20 G, 18 G, 16 G, 14 G, and 2-mm inner diameter [ID] transtracheal catheter [TTC]) and insufflation catheters (16 G, 14 G, and 2-mm ID TTC) for achieving optimum ventilation, insufflating and expiratory flows were measured at an oxygen flow rate of 15 L/min.
Ultrasound Med Biol
June 2024
Department of Ultrasound, Jinjing Municipal Hospital (Shanghai Sixth People's Hospital Fujian), NO.16, Luoshan Section, Jinguang Road, Jinjiang, Quanzhou, Fujian; Department of Ultrasound, Second Affiliated Hospital of Fujian Medical University, No. 34 Zhongshan North Road, Licheng District, Quanzhou, Fujian; Quanzhou Medical College, No. 2 Anji Road, Luojiang District, Quanzhou, Fujian. Electronic address:
Objective: Acute lung injury (ALI) has become a research hotspot due to its significant public health impact. To explore the value of the use of modified lung ultrasound (MLUS) scoring system for evaluating ALI using a rabbit model of ALI induced by hydrochloric acid (HCl) and investigate its correlation with high-resolution computed tomography (HRCT) and histopathological scores.
Methods: Twenty New Zealand laboratory rabbits were randomly assigned to control group (N = 5) and 3 experimental groups (N = 5 each).
Artif Organs
June 2024
Department of Anesthesiology and Critical Care, University Hospital of Grenoble Alpes, Grenoble, France.
A 64-year-old patient required emergency surgery with high risk of intubation failure, without any possibility to perform neither a direct transtracheal access nor VV-ECMO canulation. The patient was managed thanks to a VA-ECMO despite the absence of cardiac function impairment. This report describes perioperative challenges and management of this unconventional case with favorable outcome.
View Article and Find Full Text PDFAnesth Pain Med (Seoul)
July 2022
Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea.
Transtracheal jet ventilation can be used for resuscitation of partial airway obstruction. A prerequisite for jet ventilation is that at least a minimum airway opening for gas escape must be secured. Therefore, another option should be considered in cases of complete airway obstruction.
View Article and Find Full Text PDFCase Rep Vet Med
March 2022
Faculty of Veterinary Science, Laboratory of Veterinary Surgery, Nippon Veterinary and Life Science University, Tokyo, Japan.
Transsphenoidal surgery (TSS) is a curative treatment for pituitary-dependent hyperadrenocorticism, and its use in dogs has recently increased. One of the most serious postoperative complications of TSS is dyspnoea. We report three cases where transtracheal catheter oxygen therapy prevented death from respiratory distress secondary to enlarged soft palate after TSS.
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