Transnasal humidified rapid insufflation ventilatory exchange combined with intravenous anesthesia and nerve block without endotracheal intubation for atrial septal defect repair: a case report

This brief case report describes a new anesthesia method without endotracheal intubation in open heart surgery. The patient was a 41 years old female. Because the location of the atrial septal defect was not suitable for interventional minimally invasive surgery, she could only undergo open heart su...

Full description

Bibliographic Details
Main Authors: Haifeng Shi, Zhengqing Zhou, Hua Xu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-11-01
Series:Frontiers in Anesthesiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fanes.2023.1226132/full
_version_ 1797490418788597760
author Haifeng Shi
Zhengqing Zhou
Hua Xu
author_facet Haifeng Shi
Zhengqing Zhou
Hua Xu
author_sort Haifeng Shi
collection DOAJ
description This brief case report describes a new anesthesia method without endotracheal intubation in open heart surgery. The patient was a 41 years old female. Because the location of the atrial septal defect was not suitable for interventional minimally invasive surgery, she could only undergo open heart surgery under cardiopulmonary bypass. Due to news reports about anesthesia without tracheal intubation, the patient refused to undergo tracheal intubation anesthesia; therefore, we innovatively adopted an anesthesia method of transnasal humidified rapid insufflation ventilatory exchange (THRIVE) combined with intravenous anesthesia and nerve block without endotracheal intubation, and achieved success. The whole operation process was very smooth; the patient was quiet and motionless, and her respiration and circulation were stable. After the operation, the patient opened her eyes without any complaints and was safely sent to the CICU (cardiac intensive care unit).
first_indexed 2024-03-10T00:32:44Z
format Article
id doaj.art-a9be2f112c574b9bbee38787b84a2e40
institution Directory Open Access Journal
issn 2813-480X
language English
last_indexed 2024-03-10T00:32:44Z
publishDate 2023-11-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Anesthesiology
spelling doaj.art-a9be2f112c574b9bbee38787b84a2e402023-11-23T15:23:31ZengFrontiers Media S.A.Frontiers in Anesthesiology2813-480X2023-11-01210.3389/fanes.2023.12261321226132Transnasal humidified rapid insufflation ventilatory exchange combined with intravenous anesthesia and nerve block without endotracheal intubation for atrial septal defect repair: a case reportHaifeng ShiZhengqing ZhouHua XuThis brief case report describes a new anesthesia method without endotracheal intubation in open heart surgery. The patient was a 41 years old female. Because the location of the atrial septal defect was not suitable for interventional minimally invasive surgery, she could only undergo open heart surgery under cardiopulmonary bypass. Due to news reports about anesthesia without tracheal intubation, the patient refused to undergo tracheal intubation anesthesia; therefore, we innovatively adopted an anesthesia method of transnasal humidified rapid insufflation ventilatory exchange (THRIVE) combined with intravenous anesthesia and nerve block without endotracheal intubation, and achieved success. The whole operation process was very smooth; the patient was quiet and motionless, and her respiration and circulation were stable. After the operation, the patient opened her eyes without any complaints and was safely sent to the CICU (cardiac intensive care unit).https://www.frontiersin.org/articles/10.3389/fanes.2023.1226132/fullTHRIVEhfnonon-intubated open-heart surgeryultrasound guidednerve block
spellingShingle Haifeng Shi
Zhengqing Zhou
Hua Xu
Transnasal humidified rapid insufflation ventilatory exchange combined with intravenous anesthesia and nerve block without endotracheal intubation for atrial septal defect repair: a case report
Frontiers in Anesthesiology
THRIVE
hfno
non-intubated open-heart surgery
ultrasound guided
nerve block
title Transnasal humidified rapid insufflation ventilatory exchange combined with intravenous anesthesia and nerve block without endotracheal intubation for atrial septal defect repair: a case report
title_full Transnasal humidified rapid insufflation ventilatory exchange combined with intravenous anesthesia and nerve block without endotracheal intubation for atrial septal defect repair: a case report
title_fullStr Transnasal humidified rapid insufflation ventilatory exchange combined with intravenous anesthesia and nerve block without endotracheal intubation for atrial septal defect repair: a case report
title_full_unstemmed Transnasal humidified rapid insufflation ventilatory exchange combined with intravenous anesthesia and nerve block without endotracheal intubation for atrial septal defect repair: a case report
title_short Transnasal humidified rapid insufflation ventilatory exchange combined with intravenous anesthesia and nerve block without endotracheal intubation for atrial septal defect repair: a case report
title_sort transnasal humidified rapid insufflation ventilatory exchange combined with intravenous anesthesia and nerve block without endotracheal intubation for atrial septal defect repair a case report
topic THRIVE
hfno
non-intubated open-heart surgery
ultrasound guided
nerve block
url https://www.frontiersin.org/articles/10.3389/fanes.2023.1226132/full
work_keys_str_mv AT haifengshi transnasalhumidifiedrapidinsufflationventilatoryexchangecombinedwithintravenousanesthesiaandnerveblockwithoutendotrachealintubationforatrialseptaldefectrepairacasereport
AT zhengqingzhou transnasalhumidifiedrapidinsufflationventilatoryexchangecombinedwithintravenousanesthesiaandnerveblockwithoutendotrachealintubationforatrialseptaldefectrepairacasereport
AT huaxu transnasalhumidifiedrapidinsufflationventilatoryexchangecombinedwithintravenousanesthesiaandnerveblockwithoutendotrachealintubationforatrialseptaldefectrepairacasereport