급성 호흡곤란이 발생한 성문암 환자에서 기도 확보를 위한 고유량 비강 캐뉼라 보조 기관절개술
High Flow Nasal Cannula Assisted Tracheostomy for Securing Airways in Patients with Acute Respiratory Distress Induced by Glottic Cancer
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Tracheostomy is considered as a first treatment, when oral intubation seems to be difficult in patient who present severe upper airway obstruction. Generally, tracheostomy is performed in supine position. But if airway obstruction is severe enough to cause dyspnea, low oxygen saturation and inability to maintain supine position, tracheostomy should be performed in sitting position. The authors report a case of successful tracheostomy using high flow nasal cannula which help to maintain stable oxygen saturation and respiration in patients with laryngeal cancer.
Abstract
Tracheostomy is considered as a first treatment, when oral intubation seems to be difficult in patient who present severe upper airway obstruction. Generally, tracheostomy is performed in supine position. But if airway obstruction is severe enough to cause dyspnea, low oxygen saturation and inability to maintain supine position, tracheostomy should be performed in sitting position. The authors report a case of successful tracheostomy using high flow nasal cannula which help to maintain stable oxygen saturation and respiration in patients with laryngeal cancer.
참고문헌 (6)
- Shokri T, "Emergency operative airway techniques", Oper Tech Otolayngol Head Neck Surg, 28(4), pp.252~257 (2017)
- Hsiao J, "Videos in clinical medicine. Cricothyroidotomy", N Engl J Med, 358(22), pp.e25~ (2008)
- Klotz R, "Percutaneous versus surgical strategy for tracheostomy : a systematic review and meta-analysis of perioperative and postoperative complications", Langenbecks Arch Surg, 403(2), pp.137~149 (2018)
- Ffrench-O’Carroll R, "Maintaining oxygenation with high-flow nasal cannula during emergent awake surgical tracheostomy", Br J Anaesth, 118(6), pp.954~955 (2017)
- Desai N, "Use of transnasal humidified rapid-insufflation ventilatory exchange for emergent surgical tracheostomy : a case report", A A Case Rep, 9(9), pp.268~270 (2017)
- Onwochei D, "Intra-oral ignition of monopolar diathermy during transnasal humidified rapidinsufflation ventilatory exchange(THRIVE)", Anaesthesia, 72(6), pp.781~783 (2017)