1. Bronchoscopic Cryotherapy for Acute Hypoxemic Respiratory Failure in Three Mechanically Ventilated Patients: A Case Series
- Author
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Sudheer Tale, Mayank Mishra, Girish Sindhwani, Vipul Prakash, Soibam Pahel Meitei, and Arjun Negi
- Subjects
Fiberoptic bronchoscopy ,medicine.medical_treatment ,Lung collapse ,Cryotherapy ,Case Report ,Acute airway obstruction ,Critical Care and Intensive Care Medicine ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,law ,Medicine ,Intubation ,Intensive care unit ,Acute hypoxemic respiratory failure ,Lung ,business.industry ,030208 emergency & critical care medicine ,Airway obstruction ,medicine.disease ,medicine.anatomical_structure ,030228 respiratory system ,Cryoextraction ,Anesthesia ,Mucus plugs ,business - Abstract
Endobronchial blood clots or mucus plugs can present with minimal symptoms or acute airway obstruction in the intensive care unit (ICU) patients. Acute airway obstruction can lead to rapid worsening of dyspnea owing to poor oxygenation due to collapse of the lung. Prompt recognition and treatment of this condition can translate into a successful outcome by decreasing morbidity and mortality and facilitating successful weaning of these patients. When conventional methods fail to relieve the obstruction, cryoextraction a novel technique, may prove to be a useful alternative for the removal of these clots and mucus plugs. Cryoextraction is best performed with rigid bronchoscopic intubation. However, in certain conditions, it may be used with a flexible fiberoptic bronchoscope (FOB) through an endotracheal tube, especially when bedside procedure is required in ICU patients. In this series, three cases are being discussed where bedside flexible bronchoscopy-guided cryoextraction was done leading to a successful resolution of acute hypoxemic respiratory failure. How to cite this article: Tale S, Meitei SP, Prakash V, Negi A, Mishra M, Sindhwani G. Bronchoscopic Cryotherapy for Acute Hypoxemic Respiratory Failure in Three Mechanically Ventilated Patients: A Case Series. Indian J Crit Care Med 2021;25(1):94–96.
- Published
- 2021