Transnasal humidified rapid insufflation ventilatory exchange in elective laryngopharyngoscopy

Stewart, Kirsten; McNarry, Alistair F.; Nixon, Iain J.

doi:10.1111/coa.13447

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…9,10 The effectiveness of THRIVE in prolonging secure apnea time during upper airway surgery has already been demonstrated in several studies with different anesthesia protocols including or not the use of paralytics. [11][12][13][14][15][16][17] But few studies have investigated the advantage of combining spontaneous ventilation with the benefits of HFNO. Lee et al 18 reported the use of this new airway management technique in the treatment of acute adult epiglottitis.…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous Ventilation With High‐Flow Nasal Oxygen for Elective Suspension Microlaryngoscopy

Courbon

2023

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Objective. Spontaneous ventilation under intravenous anesthesia allows the surgeon to work without interruption or obstruction of the operating field during suspension microlaryngoscopy (SML). High-flow nasal oxygen therapy (HFNO) is increasingly used in anesthesia. We hypothesized that its use during SML would increase patient safety even in situations where the airway is compromised by tumor or stenosis.

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Section: Discussionmentioning

confidence: 99%

“…The effectiveness of THRIVE in prolonging secure apnea time during upper airway surgery has already been demonstrated in several studies with different anesthesia protocols including or not the use of paralytics. 11 , 12 , 13 , 14 , 15 , 16 , 17 …”

Section: Discussionmentioning

confidence: 99%

Spontaneous Ventilation With High‐Flow Nasal Oxygen for Elective Suspension Microlaryngoscopy

Courbon

2023

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“…Its use primarily has been described during difficult airway management, as well as during hypopharyngeal and laryngotracheal surgery, and endoscopies. 2 , 3 , 4 , 5 This technique allows for increased oxygenation while the patient is apnoeic due to continuous positive airway pressure and gas exchange through flow‐dependent dead space flushing. 3 Oxygenation utilizing HRIVE supports a significantly higher apnoea time compared to preoxygenation with 100% oxygen using a tight‐fitting face mask with supplemental oxygen via nasal cannula.…”

Section: Introductionmentioning

confidence: 99%

Humidified rapid‐insufflation ventilatory exchange is a means of oxygenation during rigid bronchoscopy: A case series

Kornafeld

Fernández-Bussy

Abia‐Trujillo

et al. 2022

Respirology Case Reports

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Humidified rapid-insufflation ventilatory exchange (HRIVE) is an option for maintenance of oxygenation. This technique allows for oxygenation while the patient is apnoeic due to continuous positive airway pressure and gas exchange through flowdependent dead space flushing. There is no study about the usage of HRIVE during rigid bronchoscopy. This retrospective study looked at rigid bronchoscopy cases utilizing HRIVE. Data points assessing adequacy of oxygenation and ventilation were recorded at time points: oxygen saturation (SpO 2 ), partial pressure of oxygen (PaO 2 ) and partial pressure of carbon dioxide (PaCO 2 ). Our nine cases had an average baseline SpO 2 of 99.26%, 95.56% at 10 min into HRIVE and 95.27% at the end of HRIVE. The average baseline PaO 2 was 309.01 mmHg, 124.99 mmHg at 10 min into HRIVE and 128.17 mmHg at the end of HRIVE. The average baseline PaCO 2 was 43.26 mmHg, 68.76 mmHg at 10 min into HRIVE and 75.52 mmHg at the end of HRIVE. The average pre-HRIVE end-tidal CO 2 (ETCO 2 ) was 38.56 mmHg and the average post-HRIVE ETCO 2 was 61.22 mmHg. The average baseline pH was 7.36, 7.22 at 10 min into HRIVE and 7.19 at the end of HRIVE. In this small cohort study, HRIVE was able to maintain adequate oxygenation via the rigid bronchoscope in a select group of patients. Hypercapnia and respiratory acidosis did result after 10 min, which may predispose certain patient populations to complications. HRIVE potentially offers an additional option of oxygenation via the rigid bronchoscope.

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Trans-nasal Humidified Rapid Insufflation Ventilatory Exchange (THRIVE) and its Utility in Otolaryngology, Head and Neck Surgery: A Literature Review

Ananthapadmanabhan,

Kudpaje,

Raju

et al. 2024

Indian J Otolaryngol Head Neck Surg

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Transnasal humidified rapid insufflation ventilatory exchange in elective laryngopharyngoscopy

Cited by 3 publications

References 6 publications

Spontaneous Ventilation With High‐Flow Nasal Oxygen for Elective Suspension Microlaryngoscopy

Spontaneous Ventilation With High‐Flow Nasal Oxygen for Elective Suspension Microlaryngoscopy

Humidified rapid‐insufflation ventilatory exchange is a means of oxygenation during rigid bronchoscopy: A case series

Trans-nasal Humidified Rapid Insufflation Ventilatory Exchange (THRIVE) and its Utility in Otolaryngology, Head and Neck Surgery: A Literature Review

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