Noninvasive positive pressure ventilation in procedural sedation

Maintenance of spontaneous effective ventilations can present unique challenges to emergency physicians directing procedural sedation in patients with underlying anatomic or physiologic upper airway pathology. In a morbidly obese patient requiring electrical cradioversion, use of bilevel positive ai...

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Bibliographic Details
Published in:The American journal of emergency medicine 2010-07, Vol.28 (6), p.750.e1-750.e3
Main Authors: Remick, Jason, DO, Sacchetti, Alfred, MD, Bages, Gust, RN, Delagol, Kristen, RN
Format: Article
Language:English
Subjects:
Adult
Airway management
Atrial Fibrillation - complications
Atrial Fibrillation - diagnosis
Atrial Fibrillation - therapy
Blood pressure
Cardiac arrhythmia
Cardioversion
Deep Sedation
Electric Countershock
Electrocardiography
Emergency
Emergency medical care
Habitus
Humans
Male
Obesity
Obesity, Morbid - complications
Pathology
Patients
Positive-Pressure Respiration
Pulse oximetry
Regional anesthesia
Sinuses
Sleep apnea
Ventilation
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Summary:Maintenance of spontaneous effective ventilations can present unique challenges to emergency physicians directing procedural sedation in patients with underlying anatomic or physiologic upper airway pathology. In a morbidly obese patient requiring electrical cradioversion, use of bilevel positive airway pressure facilitated deep sedation while averting any adverse respiratory complications. Noninvasive pressure support ventilation may present another emergency department adjunct for difficult procedural sedation cases.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2009.11.010