The use of Transnasal Humidified Rapid‐Insufflation Ventilatory Exchange (THRIVE) to facilitate Tracheostomy under sedation

Abeysundara, L.; Parker, Helen; Fowler, Anna; Patel, Anil

doi:10.21466/ac.tuothrv.2016

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…High‐flow administration of oxygen via the side port of a bronchoscope risks barotrauma if the path for gas egress becomes obstructed even for a brief period and is not recommended. Cases of tracheostomy formation under apnoeic oxygenation have also been described .…”

Section: Tubeless Anaesthesiamentioning

confidence: 99%

Uses and mechanisms of apnoeic oxygenation: a narrative review

Lyons

Callaghan

2019

Anaesthesia

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Apnoeic oxygenation refers to oxygenation in the absence of spontaneous respiration or mechanical ventilation. It has been described in humans for over half a century and has seen a resurgence in interest given its potential to delay oxygen desaturation during airway management, especially with the advent of high-flow nasal cannulae. This narrative review summarises our current understanding of the mechanisms of gas exchange during apnoeic oxygenation and its diverse range of clinical applications, including its use at induction of anaesthesia and for the facilitation of 'tubeless anaesthesia'. Additional discussion covers use in critical care, obese, obstetric and paediatric sub-populations. The article also highlights current research efforts aiming to enhance the evidence base for the use of this technique.

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Section: Tubeless Anaesthesiamentioning

confidence: 99%

Uses and mechanisms of apnoeic oxygenation: a narrative review

Lyons

Callaghan

2019

Anaesthesia

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“…It has been shown to maintain oxygen saturations and extend apnoea time in patients with difficult airways [ 19 ]. THRIVE has proved to be an important adjunct during the awake tracheostomy in a previous local anaesthetic tracheostomy [ 20 ], and it proved similarly effective in this case.…”

Section: Discussionmentioning

confidence: 97%

Soft Palate Pleomorphic Adenoma of a Minor Salivary Gland: An Unusual Presentation

Forde

Millard

Ali

2018

Case Reports in Otolaryngology

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Approximately 10% of pleomorphic adenomas occur in the minor salivary glands with the palate being the most common site. Pleomorphic adenomas account for the majority of palatal tumours; however, minor salivary gland tumours have a higher risk of malignancy compared to tumours of the major salivary glands, so appropriate diagnostic evaluation should be prompt. We present a case of a 52-year-old man with a longstanding history of a soft palate pleomorphic adenoma which required excision under general anaesthetic via a mandibular swing approach. As well as the surgical approach to access this tumour; this case is unique as it is the largest soft palate pleomorphic adenoma reported in the literature. We discuss the appropriate preoperative investigations and airway considerations for this patient, as well as the factors to consider when planning operative management of palatal tumours.

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