A Practical Approach to Apneic Oxygenation during Endotracheal IntubationMatt Pratt*
Student Registered Nurse Anesthetist, Florida Gulf Coast University, Fort Myers, Florida, USA
- *Corresponding Author:
- Matt Pratt, MBA, BSN, EMT-P
Student Registered Nurse Anesthetist
Florida Gulf Coast University, Fort Myers
E-mail: [email protected]
Received date: December 07, 2016; Accepted date: January 03, 2017; Published date: January 09, 2017
Citation: Pratt M (2017) A Practical Approach to Apneic Oxygenation during Endotracheal Intubation. J Anesth Clin Res 8:696. doi: 10.4172/2155-6148.1000696
Copyright: © 2017 Pratt M. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Patients undergoing general anesthesia with endotracheal intubation are exposed to a brief apnea period that is usually well tolerated. Conventional preoxygenation techniques may not provide adequate time for safe airway management in patients at high risk for desaturation or when an unanticipated difficult airway arises. Continuous oxygen administration during the apnea period, termed apneic oxygenation, can be used in conjunction with traditional pre-oxygenation techniques to prolong the time to patient desaturation when tracheal intubation is attempted. Clinical studies have evaluated the efficacy of apneic oxygenation using multiple techniques, nasopharyngeal catheters, nasal prongs, modified laryngoscopes, and buccal oxygen administration, all proved to be effective at prolonging the duration of apnea, by delaying the onset of hypoxemia.