• A&A practice · Nov 2019

    Case Reports

    Helmet CPAP as a Bridge From a Rapid Response Activation for Hypoxia Through Awake Tracheostomy in the Operating Room in a Patient With a Difficult Airway: A Case Report.

    • Matteo Nocci, Emanuele Detti, Marco Meneguzzi, and Sabino Scolletta.
    • From the Departments of Emergency and Urgency.
    • A A Pract. 2019 Nov 15; 13 (10): 389-391.

    AbstractContinuous positive airway pressure (CPAP) has been used in multiple clinical settings with increasing frequency. However, its use in improving blood oxygenation for difficult airways has never been a specific consideration. Here, we present a rapid response team (RRT) intervention in a patient with severe hypoxia requiring emergent surgical tracheostomy. To restore an adequate level of blood oxygen saturation, helmet CPAP was used during transportation and surgical tracheostomy. In selected cases involving difficult airways, helmet CPAP may have some advantages. Additional studies are warranted to assess the benefits of introducing this device to RRT equipment.

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