Non‐invasive ventilation and airway exchange catheter using a novel adapter in a difficult airway patient with post‐extubation respiratory failure
Abstract 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 e...
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Wiley
2020-07-01
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| Series: | Respirology Case Reports |
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| Online Access: | https://doi.org/10.1002/rcr2.558 |
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doaj-09e224a8b0a14148bd8723cdd57fbf5f2020-11-25T03:32:04ZengWileyRespirology Case Reports2051-33802020-07-0185n/an/a10.1002/rcr2.558Non‐invasive ventilation and airway exchange catheter using a novel adapter in a difficult airway patient with post‐extubation respiratory failureOscar Ivan Quintero Osorio0Janer V. Arenas1Juan A. Cuervo2Gustavo A. Ospina Tascón3Fundación Valle del Lili Centro de Investigaciones Clínicas Cali ColombiaDepartment of Intensive Care Medicine Fundación Valle del Lili Cali ColombiaDepartment of Anesthesiology Fundación Valle del Lili Cali ColombiaDepartment of Intensive Care Medicine Fundación Valle del Lili Cali ColombiaAbstract 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.https://doi.org/10.1002/rcr2.558Airway exchange catheterdifficult airwaynasoenteric tubesnon‐invasive ventilationpost‐extubation respiratory failure |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Oscar Ivan Quintero Osorio Janer V. Arenas Juan A. Cuervo Gustavo A. Ospina Tascón |
| spellingShingle |
Oscar Ivan Quintero Osorio Janer V. Arenas Juan A. Cuervo Gustavo A. Ospina Tascón Non‐invasive ventilation and airway exchange catheter using a novel adapter in a difficult airway patient with post‐extubation respiratory failure Respirology Case Reports Airway exchange catheter difficult airway nasoenteric tubes non‐invasive ventilation post‐extubation respiratory failure |
| author_facet |
Oscar Ivan Quintero Osorio Janer V. Arenas Juan A. Cuervo Gustavo A. Ospina Tascón |
| author_sort |
Oscar Ivan Quintero Osorio |
| title |
Non‐invasive ventilation and airway exchange catheter using a novel adapter in a difficult airway patient with post‐extubation respiratory failure |
| title_short |
Non‐invasive ventilation and airway exchange catheter using a novel adapter in a difficult airway patient with post‐extubation respiratory failure |
| title_full |
Non‐invasive ventilation and airway exchange catheter using a novel adapter in a difficult airway patient with post‐extubation respiratory failure |
| title_fullStr |
Non‐invasive ventilation and airway exchange catheter using a novel adapter in a difficult airway patient with post‐extubation respiratory failure |
| title_full_unstemmed |
Non‐invasive ventilation and airway exchange catheter using a novel adapter in a difficult airway patient with post‐extubation respiratory failure |
| title_sort |
non‐invasive ventilation and airway exchange catheter using a novel adapter in a difficult airway patient with post‐extubation respiratory failure |
| publisher |
Wiley |
| series |
Respirology Case Reports |
| issn |
2051-3380 |
| publishDate |
2020-07-01 |
| description |
Abstract 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. |
| topic |
Airway exchange catheter difficult airway nasoenteric tubes non‐invasive ventilation post‐extubation respiratory failure |
| url |
https://doi.org/10.1002/rcr2.558 |
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