Use of oxygen reserve index during bronchoscopic balloon dilation for subglottic stenosis in a patient with left ventricular assist device implantation -a case report-
Background Monitoring the oxygenation status is crucial during general anesthesia to ensure patient safety. Although noninvasive pulse oximetry is commonly used to monitor percutaneous oxygen saturation (SpO2), it may not accurately reflect changes in oxygen partial pressure when the latter is exces...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2024-04-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kja-23568.pdf |
| _version_ | 1797235368394752000 |
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| author | Jimin Lee Minwoo Chung Eui-Suk Sung Jung-Pil Yoon Yeong Min Yoo Jaesang Bae Hee Young Kim |
| author_facet | Jimin Lee Minwoo Chung Eui-Suk Sung Jung-Pil Yoon Yeong Min Yoo Jaesang Bae Hee Young Kim |
| author_sort | Jimin Lee |
| collection | DOAJ |
| description | Background Monitoring the oxygenation status is crucial during general anesthesia to ensure patient safety. Although noninvasive pulse oximetry is commonly used to monitor percutaneous oxygen saturation (SpO2), it may not accurately reflect changes in oxygen partial pressure when the latter is excessively high or low. The oxygen reserve index (ORi) provides real-time information about the oxygen reserve status. Case We present a case of successful management of subglottic stenosis using balloon bronchoscopy in an infant with a left ventricular assist device implantation under ORi monitoring to predict hypoxemia during the surgical procedure. Conclusions Utilizing ORi monitoring during anesthesia for procedures involving apnea in critically ill infants can help predict impending desaturation before a drop in SpO2 occurs, allowing anesthesiologists to effectively anticipate and manage the apnea period. Continuous ORi monitoring offers valuable insights during surgical procedures, especially in infants with compromised respiratory and cardiovascular functions. |
| first_indexed | 2024-04-24T16:46:51Z |
| format | Article |
| id | doaj.art-ffb6161e2e2644ea8e5e013976aa4a11 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-04-24T16:46:51Z |
| publishDate | 2024-04-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-ffb6161e2e2644ea8e5e013976aa4a112024-03-29T07:56:40ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632024-04-0177227327710.4097/kja.235688936Use of oxygen reserve index during bronchoscopic balloon dilation for subglottic stenosis in a patient with left ventricular assist device implantation -a case report-Jimin Lee0Minwoo Chung1Eui-Suk Sung2Jung-Pil Yoon3Yeong Min Yoo4Jaesang Bae5Hee Young Kim6 Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea Department of Otolaryngology-Head and Neck Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Yangsan, Korea Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, KoreaBackground Monitoring the oxygenation status is crucial during general anesthesia to ensure patient safety. Although noninvasive pulse oximetry is commonly used to monitor percutaneous oxygen saturation (SpO2), it may not accurately reflect changes in oxygen partial pressure when the latter is excessively high or low. The oxygen reserve index (ORi) provides real-time information about the oxygen reserve status. Case We present a case of successful management of subglottic stenosis using balloon bronchoscopy in an infant with a left ventricular assist device implantation under ORi monitoring to predict hypoxemia during the surgical procedure. Conclusions Utilizing ORi monitoring during anesthesia for procedures involving apnea in critically ill infants can help predict impending desaturation before a drop in SpO2 occurs, allowing anesthesiologists to effectively anticipate and manage the apnea period. Continuous ORi monitoring offers valuable insights during surgical procedures, especially in infants with compromised respiratory and cardiovascular functions.http://ekja.org/upload/pdf/kja-23568.pdfacquired subglottic stenosisbronchoscopic surgical procedurebronchoscopydilationhypoxialaryngostenosisoxygen |
| spellingShingle | Jimin Lee Minwoo Chung Eui-Suk Sung Jung-Pil Yoon Yeong Min Yoo Jaesang Bae Hee Young Kim Use of oxygen reserve index during bronchoscopic balloon dilation for subglottic stenosis in a patient with left ventricular assist device implantation -a case report- Korean Journal of Anesthesiology acquired subglottic stenosis bronchoscopic surgical procedure bronchoscopy dilation hypoxia laryngostenosis oxygen |
| title | Use of oxygen reserve index during bronchoscopic balloon dilation for subglottic stenosis in a patient with left ventricular assist device implantation -a case report- |
| title_full | Use of oxygen reserve index during bronchoscopic balloon dilation for subglottic stenosis in a patient with left ventricular assist device implantation -a case report- |
| title_fullStr | Use of oxygen reserve index during bronchoscopic balloon dilation for subglottic stenosis in a patient with left ventricular assist device implantation -a case report- |
| title_full_unstemmed | Use of oxygen reserve index during bronchoscopic balloon dilation for subglottic stenosis in a patient with left ventricular assist device implantation -a case report- |
| title_short | Use of oxygen reserve index during bronchoscopic balloon dilation for subglottic stenosis in a patient with left ventricular assist device implantation -a case report- |
| title_sort | use of oxygen reserve index during bronchoscopic balloon dilation for subglottic stenosis in a patient with left ventricular assist device implantation a case report |
| topic | acquired subglottic stenosis bronchoscopic surgical procedure bronchoscopy dilation hypoxia laryngostenosis oxygen |
| url | http://ekja.org/upload/pdf/kja-23568.pdf |
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