Noninvasive ventilation support during fiberoptic bronchoscopy-guided nasotracheal intubation effectively prevents severe hypoxemia

2020 ◽  
Vol 58 (6) ◽  
pp. 982-983
Author(s):  
Matthew W. Harrison ◽  
Amanda Young
Keyword(s):  
Noninvasive Ventilation ◽  
Nasotracheal Intubation ◽  
Fiberoptic Bronchoscopy ◽  
Severe Hypoxemia ◽  
Ventilation Support

Vallecular cyst with coexisting laryngomalacia: Successful diagnosis and laser therapy by flexible endoscopy with a novel noninvasive ventilation support in infants

2020 ◽  
Vol 55 (7) ◽  
pp. 1750-1756
Author(s):  
Wen‐Jue Soong ◽  
Chia‐Feng Yang ◽  
Yu‐Sheng Lee ◽  
Pei‐Jeng Tsao ◽  
Chien‐Heng Lin ◽  
...  
Keyword(s):  
Laser Therapy ◽  
Noninvasive Ventilation ◽  
Flexible Endoscopy ◽  
Ventilation Support

scholarly journals Noninvasive ventilation vs. high-flow nasal cannula oxygen for preoxygenation before intubation in patients with obesity: a post hoc analysis of a randomized controlled trial

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Maeva Rodriguez ◽  
Stéphanie Ragot ◽  
Rémi Coudroy ◽  
Jean-Pierre Quenot ◽  
Philippe Vignon ◽  
...  
Keyword(s):  
Noninvasive Ventilation ◽  
Controlled Trial ◽  
High Flow ◽  
Severe Hypoxemia ◽  
Hypoxemic Respiratory Failure ◽  
Acute Hypoxemic Respiratory Failure ◽  
Randomized Controlled ◽  
Increased Risk ◽  
Post Hoc ◽  
Intubation Procedure

Abstract Background Critically ill patients with obesity may have an increased risk of difficult intubation and subsequent severe hypoxemia. We hypothesized that pre-oxygenation with noninvasive ventilation before intubation as compared with high-flow nasal cannula oxygen may decrease the risk of severe hypoxemia in patients with obesity. Methods Post hoc subgroup analysis of critically ill patients with obesity (body mass index ≥ 30 kg·m−2) from a multicenter randomized controlled trial comparing preoxygenation with noninvasive ventilation and high-flow nasal oxygen before intubation of patients with acute hypoxemic respiratory failure (PaO2/FiO2 < 300 mm Hg). The primary outcome was the occurrence of severe hypoxemia (pulse oximetry < 80%) during the intubation procedure. Results Among the 313 patients included in the original trial, 91 (29%) had obesity with a mean body mass index of 35 ± 5 kg·m−2. Patients with obesity were more likely to experience an episode of severe hypoxemia during intubation procedure than patients without obesity: 34% (31/91) vs. 22% (49/222); difference, 12%; 95% CI 1 to 23%; P = 0.03. Among patients with obesity, 40 received preoxygenation with noninvasive ventilation and 51 with high-flow nasal oxygen. Severe hypoxemia occurred in 15 patients (37%) with noninvasive ventilation and 16 patients (31%) with high-flow nasal oxygen (difference, 6%; 95% CI − 13 to 25%; P = 0.54). The lowest pulse oximetry values during intubation procedure were 87% [interquartile range, 77–93] with noninvasive ventilation and 86% [78–92] with high-flow nasal oxygen (P = 0.98). After multivariable analysis, factors independently associated with severe hypoxemia in patients with obesity were intubation difficulty scale > 5 points and respiratory primary failure as reason for admission. Conclusions Patients with obesity and acute hypoxemic respiratory failure had an increased risk of severe hypoxemia during intubation procedure as compared to patients without obesity. However, preoxygenation with noninvasive ventilation may not reduce this risk compared with high-flow nasal oxygen. Trial registration Clinical trial number: NCT02668458 (http://www.clinicaltrials.gov)

scholarly journals Noninvasive Ventilation for Post-Pneumonectomy Severe Hypoxemia

2012 ◽  
Vol 57 (9) ◽  
pp. 1514-1516 ◽  
Author(s):  
C.-P. C. Koutsogiannidis ◽  
F. C. Ampatzidou ◽  
O. G. Ananiadou ◽  
T. E. Karaiskos ◽  
G. E. Drossos
Keyword(s):  
Noninvasive Ventilation ◽  
Severe Hypoxemia

scholarly journals A comparison between the Disposcope endoscope and fiberoptic bronchoscope for nasotracheal intubation-A randomized controlled trial

2019 ◽  
Author(s):  
Junma Yu ◽  
Rui Hu ◽  
Lining Wu ◽  
Peng Sun ◽  
Zhi Zhang
Keyword(s):  
Adverse Reactions ◽  
Controlled Trial ◽  
Nasotracheal Intubation ◽  
Fiberoptic Bronchoscopy ◽  
Randomized Controlled ◽  
Significant Difference ◽  
Severe Epistaxis ◽  
Nasal Bleeding ◽  
Severe Adverse Reactions ◽  
Time Point

Abstract Background Nasotracheal intubation (NTI) is frequently performed in oral and maxillofacial surgeries. This study evaluated whether NTI is easier when guided by Disposcope endoscopy or fiberoptic bronchoscopy. Methods Sixty patients (30 per group) requiring NTI were randomly assigned to undergo fiberoptic bronchoscopy-guided (fibreoptic group) or Disposcope endoscope-guided (Disposcope group) NTI. Then, the NTI time were recorded. Epistaxis was recorded using direct laryngoscopy five minutes after completing NTI. Results The time to complete NTI was significantly longer in the fiberoptic group than the Disposcope group (38.4 sec vs 24.1 sec; mean difference, 14.2 sec; 95% CI, 10.4 to 18.1). In addition, Mild epistaxis (nasal bleeding) was observed in 8 patients in the fiberoptic group and 7 patients in the Disposcope group (26.7% vs 23.3%, respectively; relative risk, 1.2; 95% CI, 0.4 to 3.9). No moderate or severe epistaxis occurred in either group. Furthermore, there was no obvious nasal pain at any time point after extubation in the Disposcope group, and there was no significant difference between the two groups. Conclusion NTI can be completed successfully using either fiberoptic bronchoscopy or a Disposcope endoscope as a guide without any severe adverse reactions. However, compared to fiberoptic bronchoscopy, the Disposcope endoscope requires less transaction time.

Nasotracheal intubation using fiberoptic bronchoscopy in infants and children

1989 ◽  
Vol 3 (1) ◽  
pp. 103-104
Author(s):  
Tatsuru Arai ◽  
Etsuo Tabo ◽  
Kazushi Takaishi ◽  
Takumi Nagaro ◽  
Shigeo Kimura
Keyword(s):  
Nasotracheal Intubation ◽  
Fiberoptic Bronchoscopy ◽  
Infants And Children ◽  
In Infants And Children

scholarly journals Flexible endoscopic diagnosis and treatment of esophageal stenosis in children with noninvasive ventilation support

2018 ◽  
Vol 59 (1) ◽  
pp. 31-34 ◽  
Author(s):  
Kao-Hsian Hsieh ◽  
Wen-Jue Soong ◽  
Mei-Jy Jeng ◽  
Yu-Sheng Lee ◽  
Pei-Chen Tsao ◽  
...  
Keyword(s):  
Noninvasive Ventilation ◽  
Esophageal Stenosis ◽  
Endoscopic Diagnosis ◽  
Diagnosis And Treatment ◽  
Ventilation Support
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