Emergency orthopaedic surgery under noninvasive ventilation after refusal for general anaesthesia.

Thys, Frédéric;Delvau, Nicolas;Roeseler, Jean;Spencer, Sebastian;Verschuren, Franck;et.al.
(2007) European Journal of Emergency Medicine — Vol. 14, n° 1, p. 39-40 (2007)

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  • Delvau, Nicolas
    Author
  • Roeseler, JeanUCLouvain
    Author
  • Spencer, Sebastian
    Author
  • Singelyn, FrançoisUCLouvain
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Abstract
In this observation, we report a novel use of noninvasive positive pressure ventilation in the operating room to support ventilation in an acidotic hypercapnic patient with severe acute chronic respiratory failure refuted for general anaesthesia, operated under spinal anaesthesia for a femoral fracture. The feasibility of noninvasive ventilatory assistance during surgery performed under regional anaesthesia is reported here. In selected cases, noninvasive ventilation can be used in the management of patients with acute or chronic respiratory failure requiring an urgent surgical intervention but in whom the respiratory status excluded a general anaesthesia.
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Thys, F., Delvau, N., Roeseler, J., Spencer, S., Singelyn, F., Manche, E., Colosi, L., & Verschuren, F. (2007). Emergency orthopaedic surgery under noninvasive ventilation after refusal for general anaesthesia. European Journal of Emergency Medicine, 14(1), 39-40. https://doi.org/10.1097/01.mej.0000228441.33029.e3 (Original work published 2007)