Awake craniotomy using a high-flow nasal cannula with oxygen reserve index monitoring - A report of two cases - Article Swipe
YOU?
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· 2021
· Open Access
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· DOI: https://doi.org/10.17085/apm.21022
Background: Awake craniotomy is a well-tolerated procedure for the resection of brain tumors residing within or close to the eloquent cortical areas. Monitored anesthesia care (MAC) is a dominant anesthetic approach for awake craniotomy; however, it is associated with inherent challenges such as desaturation and hypercapnia, which may lead to various complications. The prevention of respiratory insufficiency is important for successful awake craniotomy. As measures to avoid respiratory depression, the use of high-flow nasal cannula (HFNC) can improve patient oxygenation and monitor the oxygen reserve index (ORi) to detect hypoxia earlier. Case: We report two cases of awake craniotomy with MAC using HFNC and ORi. We adjusted the fraction of inspired oxygen of the HFNC according to the ORi level. The patient underwent successful awake craniotomy without a desaturation event or additional airway intervention. Conclusions: Combined HFNC and ORi monitoring may provide adequate oxygen reserves in patients undergoing awake craniotomy.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.17085/apm.21022
- https://www.anesth-pain-med.org/upload/pdf/apm-21022.pdf
- OA Status
- gold
- Cited By
- 10
- References
- 14
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3209382717
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3209382717Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.17085/apm.21022Digital Object Identifier
- Title
-
Awake craniotomy using a high-flow nasal cannula with oxygen reserve index monitoring - A report of two cases -Work title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-10-29Full publication date if available
- Authors
-
Joonhee Gook, Ji‐Hye Kwon, Keoungah Kim, Jung Won Choi, Ik Soo Chung, Jeong Jin LeeList of authors in order
- Landing page
-
https://doi.org/10.17085/apm.21022Publisher landing page
- PDF URL
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https://www.anesth-pain-med.org/upload/pdf/apm-21022.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://www.anesth-pain-med.org/upload/pdf/apm-21022.pdfDirect OA link when available
- Concepts
-
Medicine, Craniotomy, Nasal cannula, Anesthesia, Hypercapnia, Airway, Oxygenation, Cannula, Surgery, AcidosisTop concepts (fields/topics) attached by OpenAlex
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10Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2024: 4, 2023: 3, 2022: 1Per-year citation counts (last 5 years)
- References (count)
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14Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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