• A & A case reports · Oct 2017

    Case Reports

    Transnasal Humidified Rapid-Insufflation Ventilatory Exchange for Preoxygenation Before Cesarean Delivery Under General Anesthesia: A Case Report.

    • Maryse Hengen, Rosalie Willemain, Alain Meyer, Bruno Langer, Girish P Joshi, and Pierre Diemunsch.
    • From the *Service d'Anesthésie-Réanimation Chirurgicale and †Service de Gynécologie-Obstétrique, Hôpitaux Universitaires, Strasbourg, France; and ‡Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas.
    • A A Case Rep. 2017 Oct 1; 9 (7): 216-218.

    AbstractTransnasal humidified rapid-insufflation ventilatory exchange has been shown to improve oxygenation and increase apnea time in difficult airway cases. It may also be beneficial in patients vulnerable to rapid desaturation due to limited pulmonary reserve. We report the use of transnasal humidified rapid-insufflation ventilatory exchange for preoxygenation before a cesarean delivery under general anesthesia in a patient with respiratory distress because of pneumonia and heart failure from severe mitral stenosis. To our knowledge, the use of this technique has not been previously reported in pregnant patients.

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