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Title
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Failed awake intubation for critical airway obstruction rescued with the ventrain device and an Arndt exchange catheter : a case report
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Author
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Abstract
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| A 71-year-old man with advanced vocal cord carcinoma presented 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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Language
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English
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Source (journal)
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A&A case reports. - Philadelphia, Pa, 2013 - 2017
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Publication
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Philadelphia, Pa
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Wolters Kluwer Health
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2019
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ISSN
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2325-7237
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DOI
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10.1213/XAA.0000000000000975
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Volume/pages
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13
:1
(2019)
, p. 23-26
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ISI
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000474142500008
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Pubmed ID
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30730309
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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