…or how can I stop my sedated patient from desaturating?
This is simple; a 7 minute video that briefly explains the use of apnoeic oxygenation. I use it to help keep saturations up in patients that I’m about to intubate, or in those that are sedated for a procedure. I use it in adults.
It suits a patient group that has good pre-oxygenation and that is not hypoxic to begin with.
The technique is simple:
1 Attach nasal prongs.
2 Pre-oxygenate the patient as you normally would
3 When the sedation is in place, increase the flow in the nasal prongs to>15L/min(remember that awake patients can’t tolerate this from normal nasal prongs.
4 The result will be increased and maintained oxygen saturations (there is a potential for hypercarbia- but we accept this)
The effects is more time before desaturation occurs.
I use this all the time. I love this technique.
More in this at the Advanced Airway Workshop at EMCORE 2013.
Watch the video.