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Helmet CPAP as a Bridge From a Rapid Response Activation for Hypoxia Through Awake Tracheostomy in the Operating Room in a Patient With a Difficult Airway: A Case Report

Nocci, Matteo MD*; Detti, Emanuele MD; Meneguzzi, Marco MD; Scolletta, Sabino MD

doi: 10.1213/XAA.0000000000001092
Case Reports
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Continuous positive airway pressure (CPAP) has been used in multiple clinical settings with increasing frequency. However, its use in improving blood oxygenation for difficult airways has never been a specific consideration. Here, we present a rapid response team (RRT) intervention in a patient with severe hypoxia requiring emergent surgical tracheostomy. To restore an adequate level of blood oxygen saturation, helmet CPAP was used during transportation and surgical tracheostomy. In selected cases involving difficult airways, helmet CPAP may have some advantages. Additional studies are warranted to assess the benefits of introducing this device to RRT equipment.

From the Departments of *Emergency and Urgency

Medicine, Surgery and Neurosciences, Unit of Intensive and Critical Care Medicine, University Hospital of Siena, Siena, Italy.

Accepted for publication August 14, 2019.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Matteo Nocci, MD, Departments of Emergency and Urgency, Unit of Intensive and Critical Care Medicine, University Hospital of Siena, Siena, Italy. Address e-mail to matteo.nocci@gmail.com.

Copyright © 2019 International Anesthesia Research Society
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