ArticleJournal of dental anesthesia and pain medicine2025
Usefulness of transnasal humidified rapid insufflation ventilatory exchange during rapid sequence induction for a patient with a hiatal hernia.
Article in Journal of dental anesthesia and pain medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
A hiatal hernia can increase abdominal pressure, potentially leading to vomiting after the induction of general anesthesia. Therefore, rapid sequence induction is the preferred method for inducing general anesthesia in patients with hiatal hernias. The use of high-flow nasal cannula oxygen (HFNC) has become increasingly common to reduce the risk of oxygen desaturation during rapid induction. This report describes a case in which a hiatal hernia was successfully induced using HFNC. A 90-year-old woman with a history of reflux esophagitis was under medical management. Preoperative chest radiography revealed hiatal hernia. Anesthesia was induced after admission to the operating room and preoxygenation with HFNC. The oxygen flow was then increased to 70 L/min, and tracheal intubation was performed. SpO
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