Gastric Rupture following Nasopharyngeal Catheter Oxygen Delivery—A Report of Two Cases

Yao, Hideki; Tuck, M.; McNally, C; Smith, M E Beth; Usatoff, Val

doi:10.1177/0310057x1504300216

Cited by 25 publications

(22 citation statements)

References 34 publications

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“…Recent guidelines urge caution with simultaneous use of high‐flow nasal oxygen and facemask ventilation . Cases of pneumocephalus , pneumo‐orbitus , epistaxis, subcutaneous emphysema, pneumomediastinum, pneumothorax , oesophagealrupture and gastric rupture have all been reported with use of nasal cannulae, largely in paediatrics.…”

Section: Complications Of Apnoeic Oxygenationmentioning

confidence: 99%

Uses and mechanisms of apnoeic oxygenation: a narrative review

Lyons

Callaghan

2019

Anaesthesia

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Apnoeic oxygenation refers to oxygenation in the absence of spontaneous respiration or mechanical ventilation. It has been described in humans for over half a century and has seen a resurgence in interest given its potential to delay oxygen desaturation during airway management, especially with the advent of high-flow nasal cannulae. This narrative review summarises our current understanding of the mechanisms of gas exchange during apnoeic oxygenation and its diverse range of clinical applications, including its use at induction of anaesthesia and for the facilitation of 'tubeless anaesthesia'. Additional discussion covers use in critical care, obese, obstetric and paediatric sub-populations. The article also highlights current research efforts aiming to enhance the evidence base for the use of this technique.

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Section: Complications Of Apnoeic Oxygenationmentioning

confidence: 99%

Uses and mechanisms of apnoeic oxygenation: a narrative review

Lyons

Callaghan

2019

Anaesthesia

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“…One concern with nasopharyngeal oxygen insufflation is the risk of iatrogenic gastric rupture. A recent case report and literature search identified 19 cases since 1961 where oxygen was applied through nasopharyngeal or nasal catheter [ 10 ] in different clinical scenarios (respiratory insufficiency, procedural sedation or after operation). Patients were all breathing spontaneously.…”

Section: Main Textmentioning

confidence: 99%

Apneic preoxygenation without nasal prongs: the “Hungarian Air Ambulance method”

Eross

Hetzman

Petróczy

et al. 2016

Scand J Trauma Resusc Emerg Med

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The Hungarian Air Ambulance has recently adopted oxygen supplementation during laryngoscopy, also known as apneic preoxygenation, to prevent desaturation during rapid sequence intubation. Despite its simplicity the nasal cannula method has some limitations relevant to our practice. First, the cannula can dislodge if the head is manipulated during preparation or intubation, especially if nasopharyngeal airways are chosen to maximise preoxygenation. Second, the method is incompatible with continuous nasal suctioning required in severe maxillofacial trauma. Third, if only one oxygen source and one competent assistant is available, a situation common during prehospital missions, the extra tube swap needed for continuous oxygen supplementation makes the procedure more complex and prone to error. We report a new method that provides comparable oxygen supplementation to the nasal cannula method, but at the same time eliminates the problems mentioned above and is easier and quicker to perform. It requires the intubator to cut and insert the tubing of the non-rebreather mask into the nasopharyngeal airway, thus providing direct pharyngeal insufflation. The method is applicable to every patient who has at least one nasopharyngeal airway inserted at the time of laryngoscopy and it only requires a pair of scissors.Electronic supplementary materialThe online version of this article (doi:10.1186/s13049-016-0200-0) contains supplementary material, which is available to authorized users.

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“…; Yao et al . ) and a report of gastric rupture during diagnostic upper gastrointestinal endoscopy (Wurm Johansson et al . ).…”

Section: Causes Of Gastric Rupturementioning

confidence: 99%

Review of gastric rupture in the horse

Dechant

Winfield²

2015

Equine Veterinary Education

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Summary Gastrointestinal rupture is an important cause and complication of equine colic. The stomach is the most commonly affected segment in the gastrointestinal tract involved in gastrointestinal rupture. Gastric rupture can be primary or secondary; however, unless prodromal clinical signs are identified, localised and corrected, the resulting peritoneal contamination with feed, intestinal secretions and bacteria is invariably fatal. Causes for gastric rupture may be known or idiopathic; however, factors that predispose a horse to gastric rupture are poorly understood. Further research is needed to identify underlying causes and pathophysiology of gastric rupture to prevent it from occurring.

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Gastric Rupture following Nasopharyngeal Catheter Oxygen Delivery—A Report of Two Cases

Cited by 25 publications

References 34 publications

Uses and mechanisms of apnoeic oxygenation: a narrative review

Uses and mechanisms of apnoeic oxygenation: a narrative review

Apneic preoxygenation without nasal prongs: the “Hungarian Air Ambulance method”

Review of gastric rupture in the horse

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