Use of a trans-tracheal rapid insufflation of oxygen device in a “cannot intubate, cannot oxygenate” scenario in a parturient -a case report
Background The trans-tracheal rapid insufflation of oxygen (TRIO) device is less commonly used and is an alternative to trans-tracheal jet ventilation for maintaining oxygenation in a “cannot intubate, cannot oxygenate” (CICO) scenario. Case We report the successful use of this device to maintain ox...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2019-08-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kja-d-18-00334.pdf |
| _version_ | 1818299254697885696 |
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| author | John Lee Von Vee Ng Constance Teo Patrick Wong |
| author_facet | John Lee Von Vee Ng Constance Teo Patrick Wong |
| author_sort | John Lee |
| collection | DOAJ |
| description | Background The trans-tracheal rapid insufflation of oxygen (TRIO) device is less commonly used and is an alternative to trans-tracheal jet ventilation for maintaining oxygenation in a “cannot intubate, cannot oxygenate” (CICO) scenario. Case We report the successful use of this device to maintain oxygenation after jet ventilator failure in a parturient who presented with the CICO scenario during the procedure for excision of laryngeal papilloma. Conclusions A stepwise approach to the airway plan and preparation for an event of failure is essential for good materno-fetal outcomes. The TRIO device may result in inadequate ventilation that can lead to hypercarbia and respiratory acidosis. Hence, it should only be used as a temporizing measure before a definitive airway can be secured. |
| first_indexed | 2024-12-13T04:48:18Z |
| format | Article |
| id | doaj.art-82271546b84549908deac430fe266dd2 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-13T04:48:18Z |
| publishDate | 2019-08-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-82271546b84549908deac430fe266dd22022-12-21T23:59:04ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632019-08-0172438138410.4097/kja.d.18.003348512Use of a trans-tracheal rapid insufflation of oxygen device in a “cannot intubate, cannot oxygenate” scenario in a parturient -a case reportJohn Lee0Von Vee Ng1Constance Teo2Patrick Wong3 Department of Anesthesiology, Singapore General Hospital, Singapore Department of Anesthesiology, Singapore General Hospital, Singapore Department of Otolaryngology, Singapore General Hospital, Singapore Department of Anesthesiology, Singapore General Hospital, SingaporeBackground The trans-tracheal rapid insufflation of oxygen (TRIO) device is less commonly used and is an alternative to trans-tracheal jet ventilation for maintaining oxygenation in a “cannot intubate, cannot oxygenate” (CICO) scenario. Case We report the successful use of this device to maintain oxygenation after jet ventilator failure in a parturient who presented with the CICO scenario during the procedure for excision of laryngeal papilloma. Conclusions A stepwise approach to the airway plan and preparation for an event of failure is essential for good materno-fetal outcomes. The TRIO device may result in inadequate ventilation that can lead to hypercarbia and respiratory acidosis. Hence, it should only be used as a temporizing measure before a definitive airway can be secured.http://ekja.org/upload/pdf/kja-d-18-00334.pdfairway managementairway obstructionhigh-frequency jet ventilationinsufflationobstetrical anesthesiatrans-tracheal rapid insufflation of oxygen (trio) |
| spellingShingle | John Lee Von Vee Ng Constance Teo Patrick Wong Use of a trans-tracheal rapid insufflation of oxygen device in a “cannot intubate, cannot oxygenate” scenario in a parturient -a case report Korean Journal of Anesthesiology airway management airway obstruction high-frequency jet ventilation insufflation obstetrical anesthesia trans-tracheal rapid insufflation of oxygen (trio) |
| title | Use of a trans-tracheal rapid insufflation of oxygen device in a “cannot intubate, cannot oxygenate” scenario in a parturient -a case report |
| title_full | Use of a trans-tracheal rapid insufflation of oxygen device in a “cannot intubate, cannot oxygenate” scenario in a parturient -a case report |
| title_fullStr | Use of a trans-tracheal rapid insufflation of oxygen device in a “cannot intubate, cannot oxygenate” scenario in a parturient -a case report |
| title_full_unstemmed | Use of a trans-tracheal rapid insufflation of oxygen device in a “cannot intubate, cannot oxygenate” scenario in a parturient -a case report |
| title_short | Use of a trans-tracheal rapid insufflation of oxygen device in a “cannot intubate, cannot oxygenate” scenario in a parturient -a case report |
| title_sort | use of a trans tracheal rapid insufflation of oxygen device in a cannot intubate cannot oxygenate scenario in a parturient a case report |
| topic | airway management airway obstruction high-frequency jet ventilation insufflation obstetrical anesthesia trans-tracheal rapid insufflation of oxygen (trio) |
| url | http://ekja.org/upload/pdf/kja-d-18-00334.pdf |
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