Hi, everyone is welcome in Anesth-ideas here: http://health.groups.yahoo.com/group/Anesthideas/

We have over five hundred members and thousands of postings - just vheck us out.

ih

 Hi all,

please check our anesthesia discussion group website here:

http://health.dir.groups.yahoo.com/group/Anesthideas/messages

you can check us out and sign up if you like us !

Yours,

Ivan Hronek MD
Moderator, Anesthideas
Los Angeles

http://www.cja-jca.org/cgi/content/abstract/54/9/744



HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS

--------------------------------------------------------------------------------
This Article

Résumé de cet Article 
Full Text 
Full Text (PDF) 
Submit a scholarly reply 
Alert me when this article is cited 
Alert me when eLetters are posted 
Alert me if a correction is posted 

Services

Similar articles in this journal 
Similar articles in PubMed 
Alert me to new issues of the journal 
Download to citation manager 
   

Google Scholar

Articles by El-Khatib, M. F. 
Articles by Baraka, A. S. 

PubMed

PubMed Citation 
Articles by El-Khatib, M. F. 
Articles by Baraka, A. S. 

Canadian Journal of Anesthesia 54:744-747 (2007)
© Canadian Anesthesiologists' Society, 2007
Case Reports/Case Series
Noninvasive bilevel positive airway pressure for preoxygenation of the critically ill morbidly obese patient
[La ventilation en pression positive non invasive à bi-niveau pour la préoxygénation des obèses morbides sévèrement malades]
Mohamad F. El-Khatib, PhD, Ghassan Kanazi, MD and Anis S. Baraka, MD
From the Department of Anesthesiology, American University of Beirut, Beirut, Lebanon.

Address correspondence to: Dr. Anis Baraka, Professor & Chairman, Department of Anesthesiology, American University of Beirut, P.O.Box: 11-0236, Beirut 1107 2020, Lebanon. Phone: 00-961-1350000, ext. 6380; Fax: 00-961-1; E-mail: abaraka@aub.edu.lb


Purpose: We describe the use of noninvasive bilevel positive airway pressure (BiPAP) in a critically ill, hypoxemic and morbidly obese patient for preoxygenation prior to rapid sequence induction of anesthesia.

Clinical features: A critically ill morbidly obese patient (body mass index: 49 kg·m–2) was scheduled for urgent laparoscopic cholecystectomy. Preoxygenation with 5 L·min–1 oxygen flow resulted in a moderate increase in oxygen saturation (SpO2) from 79% to 90%. Prior to rapid sequence induction of anesthesia, a trial of noninvasive BiPAP with oxygen delivery at 5 L·min–1 increased his SpO2 to 95% initially, with full saturation of 99% achieved when oxygen flow was increased to 10 L·min–1. Bilevel positive airway pressure with an inspiratory and expiratory pressures of 17 cm H2O and 7 cm H2O, respectively, was applied using a full face mask to achieve a tidal volume of 8 mL·kg–1. Rapid sequence induction proceeded uneventfully.

Conclusions: Prior to rapid sequence induction of anesthesia in patients with respiratory compromise secondary to factors which reduce FRC, noninvasive BiPAP in combination with supplemental oxygen may be indicated whenever traditional preoxygenation does not provide adequate oxyhemoglobin saturation. Improved oxygenation is most likely attributable to improved ventilation and alveolar recruitment.

It is $ 8 - 10.000 depending on if you do any other business with LMA North America.
ivan