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Use of Helium/Oxygen Mixture in Noninvasive Ventilation During Urgent Tracheotomy for Upper Airway Compression

A Case Report

Mathais, Quentin, MD*; Goutorbe, Philippe, MD*; Vatin, Loraine, MD; Morvan, Jean Baptiste, MD; Meaudre, Eric, MD*,‡

doi: 10.1213/XAA.0000000000000851
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Ventilation or oxygenation can be difficult or even impossible in cases of upper airway obstruction. In this case report, we used a helium/oxygen mixture administered via noninvasive positive-pressure ventilation to perform an urgent tracheotomy under local anesthesia on a patient presenting upper airway compression. It improved his comfort and his stridor, facilitating supine positioning. This case describes another potential indication of the helium/oxygen mixture in noninvasive ventilation.

From the Departments of *Anesthesiology and Intensive Care

Otorhinolaryngology, Military Hospital Sainte Anne, Toulon, France

French Military Health Service Academy Unit, Ecole du Val-de-Grâce, Paris, France.

Accepted for publication June 18, 2018.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Quentin Mathais, MD, BCRM Toulon, HIA Sainte Anne, Service de Réanimation-Brûlés, 2 Blvd Sainte Anne, BP 600, 83800 Toulon Cedex 09, France. Address e-mail to quentin.mathais@orange.fr.

© 2019 International Anesthesia Research Society
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