Usefulness of transnasal humidified rapid insufflation ventilatory exchange during rapid sequence induction for a patient with a hiatal hernia
Abstract
A hiatal hernia can increase abdominal pressure, potentially leading to vomiting after the induction of general anesthesia. Therefore, rapid sequence induction is the preferred method for inducing general anesthesia in patients with hiatal hernias. The use of high-flow nasal cannula oxygen (HFNC) has become increasingly common to reduce the risk of oxygen desaturation during rapid induction. This report describes a case in which a hiatal hernia was successfully induced using HFNC. A 90-year-old woman with a history of reflux esophagitis was under medical management. Preoperative chest radiography revealed hiatal hernia. Anesthesia was induced after admission to the operating room and preoxygenation with HFNC. The oxygen flow was then increased to 70 L/min, and tracheal intubation was performed. SpO2 remained at ≥99% during apnea for approximately 2 min, and no gastric reflux occurred. Rapid sequence induction combined with HFNC may be an effective option for patients with hiatal hernias who are at a high risk of gastric reflux during anesthetic induction.
How strong is the evidence?
Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
Read the paper
Related studies
- The Prediction of the In Vitro Release Curves for PLGA-Based Drug Delivery Systems with Neural Networks
- Promising Ursolic Acid as a Novel Antituberculosis Agent: Current Progress and Challenges
- Proof of principle concept for the analysis and functional prediction of rare genetic variants in the CYP2C19 and CYP2D6 genes
- Fabrication, characterization, and docking studies of furosemide-loaded nanosponges using the emulsion solvent diffusion method
- The Effect of Concomitant Administration of Proton Pump Inhibitors on the Pharmacokinetics of CDK4/6 Inhibitors in Rats: Implications for the Evaluation of Hepatic and Transporter-Mediated Drug–Drug Interactions
- Mining the Metabolic Capacity of Clostridium sporogenes Aided by Machine Learning
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.