Transnasal Humidified Rapid Insufflation Ventilatory Exchange in Laryngotracheal Resection and Reconstruction: A Report of Two Pregnant Cases
Author | Dario Alberto Castano-Ramirez | en |
Author | Laura Marcela Zamudio-Castilla | en |
Author | Luis Fernando Tintinago-Londono | en |
Author | William Victoria-Morales | en |
Author | Luis Fernando Gonzalez-Arboleda | en |
Issued Date | 2022-06-30 | en |
Abstract | Introduction: The incidence of tracheal stenosis is progressively increasing. A risk factor for developing this clinical condition is a history of prolonged endotracheal intubation. A transnasal humidified rapid insufflation ventilatory exchange, known as THRIVE, has gained importance in tracheal resection surgeries. Case Presentation: Herein, we describe the anesthetic management of two obstetric patients, a 19-year-old and 29-year-old, with a history of prolonged endotracheal intubation and a diagnosis of tracheal stenosis. The patients required the resection of the tracheal segment and end-to-end anastomosis. The anesthetic management focused on THRIVE using a high-flow nasal cannula. Conclusions: This system proved to be a safe anesthetic technique for pregnant women and the fetus. Furthermore, it allowed surgeons to better visualize the surgical field without the risk of accidental injury to the endotracheal tube. | en |
DOI | https://doi.org/10.5812/aapm-123829 | en |
Keyword | Pregnant Women | en |
Keyword | Tracheal Stenosis | en |
Keyword | Tracheal Resection | en |
Keyword | Transnasal Humidified Rapid Insufflation Ventilatory Exchange | en |
Keyword | High-Flow Nasal Cannula | en |
Publisher | Brieflands | en |
Title | Transnasal Humidified Rapid Insufflation Ventilatory Exchange in Laryngotracheal Resection and Reconstruction: A Report of Two Pregnant Cases | en |
Type | Case Report | en |
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