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KMID : 1155520200150040505
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Anesthesia and Pain Medicine
2020 Volume.15 No. 4 p.505 ~ p.509
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A novel application of Transnasal Humidified Rapid Insufflation Ventilatory Exchange via the oral route in morbidly obese patient during monitored anesthesia care - A case report -
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Jung Jae-Woong
Chung Yang-Hoon
Chae Won-Seok
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Abstract
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Background: Transnasal Humidified Rapid Insufflation Ventilatory Exchange (THRIVE) is used to improve oxygenation, with the added benefit of a smaller increase in CO2 if self-respiration is maintained with THRIVE. Despite these advantages, the use of THRIVE through a nasal cannula is limited in situations such as epistaxis or a basal skull fracture.
Case: We successful used THRIVE, through the oral route under general anesthesia with spontaneous breathing in a morbidly obese patient (weight, 148 kg; height, 183 cm; body mass index, 44.2 kg/m2) who received transnasal steroid injections due to subglottic stenosis.
Conclusions: THRIVE through the oral route may be an effective novel option, although further studies are needed.
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KEYWORD
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Airway management, Balanced anesthesia, Obesity, morbid, Otolaryngologic diseases
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