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Using the SuperNO2VA Device on a Patient With a Known Difficult Airway

A Case Report Facilitating Fiberoptic Intubation and Postoperative Nasal Positive Pressure

Cataldo, Steven H., MD*; Mondal, Samhati, MD; Lester, Laeben C., MD; Hensley, Nadia B., MD

doi: 10.1213/XAA.0000000000000872
Case Reports
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Upper airway obstruction during anesthesia is the leading cause of complications during sedation, intubation, and emergence. Devices to support oxygenation and ventilation are costly, require capital equipment, and cannot be used during transport. We present a 46-year-old man with sleep apnea and anticipated difficult airway undergoing a cardiac ablation under general endotracheal intubation. The SuperNO2VA nasal mask provided high-flow nasal oxygen and positive pressure during awake fiberoptic intubation and on extubation, maintaining airway patency in the operating room, during transport, and in recovery. The SuperNO2VA is inexpensive and portable and should be considered for high-risk patients with difficult airways.

From the *Department of Medical Affairs, Vyaire Medical, Mettawa, Illinois

Department of Cardiothoracic Anesthesiology, The Johns Hopkins School of Medicine, Baltimore, Maryland.

Accepted for publication July 12, 2018.

Funding: None.

Conflicts of Interest: See Disclosures at the end of the article.

Address correspondence to Steven H. Cataldo, MD, Department of Medical Affairs, Vyaire Medical, 67 Interlaken Ave, New Rochelle, NY 10801. Address e-mail to shcataldo@gmail.com.

© 2019 International Anesthesia Research Society
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