Did we double up on the same topic??? I was reading thru it and sounded very similar....Anyway it is a great idea and here is the version i uploaded a few days ago.....
academic.oup.com/bja/article/118/3/444/2999638/SponTaneous-Respiration-using-IntraVEnous-----------------------------------------------------------------------------------------------------------------------------
So Jim....It has a strong Aussie Connection......
A team of anaesthetists at the Princess Alexandra Hospital have developed a world-first anaesthesia technique to make it safer for patients with obstructed airways to undergo surgery.
Dr Anton Booth, Dr Kim Vidhani, Dr Phillip Lee and Dr Claire-Mary Thomsett combined two relatively new techniques to enable surgeons to operate on patients who would previously have been deemed unsuitable.
“Our job as anaesthetists is to take over breathing for the patient to keep them oxygenated, often through intubation,” Dr Booth said.
“In patients undergoing surgery for narrowed airways we can’t insert a tube into the trachea where the surgeons are trying to operate.
“Instead we implemented a way to keep the patient breathing spontaneously during anaesthesia.”
Dr Booth said the team added high-flow nasal oxygen supply, previously used in intensive care and respiratory units.
“Through this combination we have been able to manage anaesthesia for patients with very challenging airway narrowing,” he said.
“We have been able to achieve quite spectacular improvements in oxygen levels while patients are in deep anaesthesia.
“This is a modern alternative to traditional techniques and has great potential to be used in many other scenarios.”
The technique has been credited with helping to save at least one life already.
“An adult patient with an infected epiglottis was in danger of having his airway blocked by rapid swelling, and this technique enabled us to safely control his airway without surgery,” Dr Booth said.
“It is also making a difference to quality of life for those people who may previously have been unsuitable for surgery.
“Surgeons have been able to operate on patients with airway obstructions who would have faced permanent tracheostomy in the past.
“Difficult airway management is a vital part of anaesthesia and we feel that we have made a significant contribution to improve its safety.”
were stridulous, 10 were dyspnoeic). No episodes of apnoea or complete airway obstruction occurred during the induction of anaesthesia using STRIVE Hi. The median [IQR (range)] lowest oxygen saturation during the induction period was 100 [99–100 (97–100)] %. The median [IQR (range)] overall duration of spontaneous ventilation was 44 [40–49.5 (18–100)] min. The median [IQR (range)] end-tidal carbon dioxide (ETCO2) level at the end of the spontaneous ventilation period was 6.8 [6.4–7.1 (4.8–8.9)] kPa. The mean rate of increase in ETCO2 was 0.03 kPa min−1.
