Goudra ventilating bite block to reduce hypoxemia during endoscopic retrograde cholangiopancreatography

Goudra, Basavana Gouda; Chandramouli,; Singh, Preet Mohinder; Sandur, Veerendra

doi:10.4103/1658-354x.130756

Cited by 8 publications

(4 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This requires a dedicated group of anesthesia providers practicing safe, efficient, and effective sedation techniques for advanced endoscopic procedures. Ongoing research into safer drugs, novel infusion methods, and the invention of newer airways can add safety to the existing sedation techniques and address some of the concerns related to hypoxemia [15].…”

Section: Non-anesthesia Provider-administered Propofol Sedationmentioning

confidence: 99%

Providing Deep Sedation for Advanced Endoscopic Procedures: The Esthetics of Endoscopic Anesthetics

Goudra

Singh

2016

Dig Dis Sci

View full text Add to dashboard Cite

Section: Non-anesthesia Provider-administered Propofol Sedationmentioning

confidence: 99%

Providing Deep Sedation for Advanced Endoscopic Procedures: The Esthetics of Endoscopic Anesthetics

Goudra

Singh

2016

Dig Dis Sci

View full text Add to dashboard Cite

“…Newer airway devices are being developed and might benefit patients undergoing procedures of mild-moderate stimulation [48,49].…”

Section: Choice Of Airwaymentioning

confidence: 99%

Anesthesia for Advanced Bronchoscopic Procedures: State-of-the-Art Review

Goudra

Singh

Borle

et al. 2015

Lung

View full text Add to dashboard Cite

The bronchoscopic procedures have seen a remarkable increase in both numbers and complexity. Although many anesthesia providers have kept pace with the challenge, the practice is varied and frequently suboptimal. Shared airway during bronchoscopy poses unique challenges. The available reviews have tried to address this lacuna; however, these have frequently dealt with the technical aspects of bronchoscopy than anesthetic challenges. The present review provides evidence-based management insights into anesthesia for bronchoscopy-both flexible and rigid. A systematic approach toward pre-procedural evaluation and risk stratification is presented. The possible anatomical and physiological factors that can influence the outcomes are discussed. Pharmacological principles guiding sedation levels and appropriate selection of sedatives form the crux of safe anesthetic management. The newer and safer drugs that can have potential role in anesthesia for bronchoscopy in the near future are discussed. Ventilatory strategies during bronchoscopy for prevention of hypoxia and hypercarbia are emphasized.

show abstract

“…Oxygen administration, performed in both acute and chronic phases of respiratory failure, is a common procedure in clinical medicine. The various modes of oxygen administration include an intubation tube, nasal cannula, oxygen mask, reservoir face mask, venturi mask, and high-flow nasal cannula (HFNC) [ 1 - 5 ]. The fraction of inspired oxygen (FiO 2 ) represents the percentage of oxygen in the inspired air that is involved in alveolar gaseous exchange.…”

Section: Introductionmentioning

confidence: 99%

Fraction of Inspired Oxygen With Low-Flow Versus High-Flow Devices: A Simulation Study

Kojima¹,

Sendo²,

Okayama³

et al. 2022

Cureus

View full text Add to dashboard Cite

Purpose: The fraction of inspired oxygen while administering oxygen to patients must be measured as it represents the alveolar oxygen concentration, which is important from a respiratory physiology viewpoint. Therefore, the purpose of this study was to compare the fractions of inspired oxygen obtained through different oxygen delivery devices. Methods: A simulation model of spontaneous respiration was used. The fractions of inspired oxygen obtained through low- and high-flow nasal cannulas and a simple oxygen mask were measured. The fraction of inspired air was measured every second for 30 s after 120 s of oxygen administration. This was measured three times under each condition. Results: With a low-flow nasal cannula, airflow reduced both the intratracheal fraction of inspired oxygen and extraoral oxygen concentration, indicating that exhalatory respiration occurred during rebreathing and may be involved in increasing the intratracheal fraction of inspired oxygen. Conclusion: Oxygen administration during expiratory flow may lead to an increased oxygen concentration in the anatomical dead space, which may be involved in the increase in the fraction of inspired oxygen. With a high-flow nasal cannula, a high fraction of inspired oxygen can be achieved even at a flow rate of 10 L/min. When determining the optimum amount of oxygen, it is necessary to set an appropriate flow rate for patients and specific conditions without being bound by the fraction of inspired oxygen values alone. It might be difficult to estimate the fraction of inspired oxygen while using a low-flow nasal cannula and simple oxygen mask in clinical situations.

show abstract

Goudra ventilating bite block to reduce hypoxemia during endoscopic retrograde cholangiopancreatography

Abstract: We describe the airway management of a patient presenting for ERCP with a bite block that allows positive pressure ventilation.

Cited by 8 publications

References 12 publications

Providing Deep Sedation for Advanced Endoscopic Procedures: The Esthetics of Endoscopic Anesthetics

Providing Deep Sedation for Advanced Endoscopic Procedures: The Esthetics of Endoscopic Anesthetics

Anesthesia for Advanced Bronchoscopic Procedures: State-of-the-Art Review

Fraction of Inspired Oxygen With Low-Flow Versus High-Flow Devices: A Simulation Study

Contact Info

Product

Resources

About