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.
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 firstname.lastname@example.org.