Use of heliox in critical upper airway obstruction. Physical and physiologic considerations in choosing the optimal helium:oxygen mix |
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Authors: | Ho Anthony M H Dion Peter W Karmakar Manoj K Chung David C Tay Beng A |
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Affiliation: | Department of Anaesthesia and Intensive Care, Faculty of Medicine, Prince of Wales Hospital Shatin, The Chinese University of Hong Kong, NT, Shatin, Hong Kong. hoamh@hotmail.com |
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Abstract: | Heliox has a lower density than oxygen and nitrogen, and can improve ventilation rapidly in patients with critical upper airway obstruction. The choice of the best helium:oxygen ratio depends on whether the predominant problem is hypercarbia or hypoxia. In the former situation, 80% helium should be used, and in the latter, 100% oxygen is appropriate. |
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