Morrison et al. Failed Awake Intubation for Critical Airway Obstruction Rescued With the Ventrain Device and an Arndt Exchange Catheter: A Case Report. A A Pract. 2019 Feb 5 (Epub ahead of print)
Dr Morisson reported a case of a 71-year-old man with advanced vocal cord carcinoma, presenting with severe airway obstruction. Therapeutic anticoagulation with enoxaparin complicated management. Failure of an oral awake bronchoscopic intubation was rescued by passing a guidewire through the working channel and threading an Arndt exchange catheter into the trachea under videoscopic vision. Ventilation with the Ventrain device lasting 40 minutes (15 L/min, inspiration/expiration 1:1, 15 breaths/min), during IV anesthesia with muscle paralysis, resulted in excellent blood gas values until placement of the tracheal cannula. This case report highlights the effectiveness of a novel ventilation technique that should be considered as back-up when bronchoscopic intubation fails.
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Hamad Medical Corporation (HMC) Qatar, has introduced our ventilator Evone in their daily clinical practice, being the first in the Middle East. We congratulate the anesthesiology team led by Prof. Dr. Marco Marcus with regional recognition of their fantastic...