Journal of Cardiothoracic and Vascular Anesthesia 32 (2018) 945–947 Contents lists available at ScienceDirect Journal of Cardiothoracic and Vascular Anesthesia journal homepage: www.jcvaonline.com Case Report A Nasal Ventilation Mask for a Morbidly Obese Patient with OSA and Atrial Fibrillation undergoing Cardioversion n,1 † † Rachel Kozinn, BS , James Kim, MD , Lori Kwan, MD , Jessica Feinleib, MD, PhD The University of Arizona College of Medicine-Phoenix, Phoenix, AZ Anesthesiology Department, West Haven VA Medical Center, West Haven, CT Key Words: obstructive sleep apnea; OSA; morbid obesity; atrial ﬁbrillation; nasal ventilation mask; nasal ventilation Morbidly obese patients have anatomic features that During moderate and deep sedation in obese patients, the increase their risk for airway collapse during sleep and current standard of care employs passive oxygenating devices, anesthesia, including a large neck circumference and the a nasal cannula or simple facemask, which fail to support presence of lateral pharyngeal neck pads that result in a airway patency and therefore do not prevent upper airway narrowed airway that is more vulnerable to collapse when obstruction. The SuperNOVA (Revolutionary Medical muscle tone is diminished during rapid-eye-movement sleep. Devices, Inc. Tucson, AZ) is a sealed nasal anesthesia mask Similarly, obese patients under
Journal of Cardiothoracic and Vascular Anesthesia – Elsevier
Published: Apr 1, 2018
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