Use of a High-Flow Nasal Cannula in a Child With a Functional Single Ventricle and Difficult Airway

Inducing anesthesia and securing the airway without disrupting the patient's hemodynamic state are challenging in pediatric patients with a functional single ventricle (FSV). Here, the authors report effective use of a high-flow nasal cannula (HFNC) as a tool in providing oxygen supplementation for airway management in pediatric FSV patients with a history of a difficult airway. A female patient, aged 5 years 7 months, was admitted for extracardiac conduit Fontan procedure. The patient had a history of multiple failed attempts at endotracheal intubation and was diagnosed with retrognathia and severe oral trismus of less than 1 finger width.

Source: Journal of Cardiothoracic and Vascular Anesthesia - September 1, 2020 Category: Anesthesiology Authors: Byungdoo Andrew Lee, Won-Jung Shin, DaUn Jeong, Jae Moon Choi, Mijeung Gwak, In-Kyung Song Tags: Case Report Source Type: research