Non-invasive ventilation and airway exchange catheter using a novel adapter in a difficult airway patient with post-extubation respiratory failure

被引：2

作者：

Quintero Osorio, Oscar Ivan ^{[1
]}

Arenas, Janer V. ^{[2
]}

Cuervo, Juan A. ^{[3
]}

Ospina Tascon, Gustavo A. ^{[2
,4
]}

机构：

[1] Fdn Valle Lili, Ctr Invest Clin, Carrera 98 18-49, Cali 760026, Colombia

[2] Fdn Valle Lili, Dept Intens Care Med, Cali, Colombia

[3] Fdn Valle Lili, Dept Anesthesiol, Cali, Colombia

[4] Univ ICESI, Fac Ciencias Salud, Cali, Colombia

来源：

RESPIROLOGY CASE REPORTS | 2020年 / 8卷 / 05期

关键词：

Airway exchange catheter; difficult airway; nasoenteric tubes; non-invasive ventilation; post-extubation respiratory failure; GUIDELINES; MANAGEMENT;

D O I：

10.1002/rcr2.558

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Post-extubation respiratory failure in patients with difficult airway is considered a challenge for the health team. Some intratracheal devices such as airway exchange catheters (AECs) could be used during scheduled tube removing to ensure a rapid access to airway in the case of requiring emergent reintubation. Nevertheless, using such devices could impede adequate non-invasive mechanical ventilation (NIMV) support because of the air leaks generated by interfering with mask interfaces. We describe the case of a woman with a very difficult airway in whom an AEC was placed before scheduled extubation and then developed post-extubation respiratory failure. Mask interface was adequately sealed by using a novel tube adapter for NIMV and successful non-invasive ventilation was provided while maintaining the AEC placed in the trachea until the emergency reintubation risk was overcome.

引用

页数：3