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KMID : 0352120220370010025
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Journal of Kyung Hee University
2022 Volume.37 No. 1 p.25 ~ p.29
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Application of High-Flow Nasal Oxygenation during Endotracheal Intubation in Patients with Difficult Mask Ventilation
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Kim Mi-Yun
Kang Hee-Yong
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Abstract
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Pneumomediastinum and pneumothorax can be caused either spontaneously or secondarily by factors including airway trauma. A 52 year-old male patient entered the operating room for an emergency craniectomy. The initial SpO2 was 82% and the patient was mechanically ventilated with FiO2 of 1.0 throughout the surgery. Based on the preoperative chest X-ray, it was suspected that he had traumatic pneumomediastinum and pneumothorax due to numerous attempts of endotracheal intubation before the surgery, and a left chest tube was inserted at the end of the surgery. In this article, we report a case of anesthesia in a patient with a very recent traumatic pneumomediastinum and pneumothorax and had no time to properly evaluate or manage pneumomediastinum and pneumothorax before the anesthesia and surgery.
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KEYWORD
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Difficult airway, Endotracheal intubation, High-flow nasal oxygenation, Safe apnea time, Preoxygenation
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