J Korean Soc Laryngol Phoniatr Logoped.  2020 Jun;31(1):31-34. 10.22469/jkslp.2020.31.1.31.

High Flow Nasal Cannula Assisted Tracheostomy for Securing Airways in Patients with Acute Respiratory Distress Induced by Glottic Cancer

Affiliations
  • 1Department of Otolaryngology-Head and Neck Surgery, Dong-A University College of Medicine, Busan, Korea

Abstract

Tracheostomy is considered as a first treatment, when oral intubation seems to be difficult in patient who present severe upper airway obstruction. Generally, tracheostomy is performed in supine position. But if airway obstruction is severe enough to cause dyspnea, low oxygen saturation and inability to maintain supine position, tracheostomy should be performed in sitting position. The authors report a case of successful tracheostomy using high flow nasal cannula which help to maintain stable oxygen saturation and respiration in patients with laryngeal cancer.

Keyword

Airway obstruction; Tracheostomy; High flow nasal cannula; Laryngeal cancer; 기도 폐쇄; 기관절개술; 고유량 비강 캐뉼라; 후두암
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