Update on ENT anaesthesia in children

Ridgway, Randa; Dumbarton, Tristan C.; Brown, Zoë

doi:10.1016/j.mpaic.2018.11.003

Cited by 5 publications

(2 citation statements)

References 9 publications

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“…Titrate the dose of opiate to the ventilatory frequency; a rule of thumb is to aim for half the preoperative rate. 4 Titrate propofol to the respiratory pattern, muscle tone, and heart rate. Children under 3 yrs tolerate higher doses of propofol and remifentanil than older children, 5 and maintain spontaneous ventilation.…”

Section: Maintenancementioning

confidence: 99%

Essential notes: the anaesthetic management of an inhaled foreign body in a child

Bould

2019

BJA Education

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Section: Maintenancementioning

confidence: 99%

Essential notes: the anaesthetic management of an inhaled foreign body in a child

Bould

2019

BJA Education

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“…The common co‐morbidities associated with a high incidence of serious airway adverse events are upper respiratory tract infection (URTI), obstructive sleep apnea, asthma and ear, nose and throat surgery. Furthermore, although ear, nose, and throat surgery is a known risk factor for PRAE in children with recent URTI, the one technique that has been shown to reduce this risk of PRAE is the avoidance of volatile agents at induction . This was confirmed by a recent randomized control trial, where intravenous induction significantly reduced risk of PRAE compared to inhalational induction in the context of current or recent URTI.…”

mentioning

confidence: 99%

TIVA in children an editorial

Baxter¹,

McCormack²

2019

Pediatric Anesthesia

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Use of THRIVE for Apneic Oxygenation in Transoral Laser Microlaryngeal Surgery: A Scoping Review

Ananthapadmanabhan,

Gan,

Kudpaje

et al. 2024

The Laryngoscope

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ObjectivesTrans‐nasal humidified rapid insufflation ventilatory exchange (THRIVE) has demonstrated utility in extending the apneic window in the perioperative setting. Its benefits in facilitating tubeless anesthesia are recognized during elective laryngotracheal surgeries. The use of THRIVE and administering higher fractional inspired oxygen concentrations in laser laryngeal surgery (LLS) remains controversial due to the theoretical risk of airway fires. A scoping review of the literature describing institutional experiences with THRIVE during LLS was conducted.Data Sources and Review MethodsA systematic scoping review of the literature was performed including PubMed, Medline, Embase, Scopus, JBI EBP Database, and Cochrane Library from inception to April 2023.ResultsFrom the 472 articles identified in our review, nine articles were included representing 271 cases. THRIVE was used for preoxygenation and to maintain apneic oxygenation during LLS. Different institutional practices related to THRIVE parameters and intraoperative modifications during lasing were described in the literature, including cessation of THRIVE, reduction of FiO2 to 30%, and continuous 100% FiO2 oxygenation. One study described a brief ignition of the coating of a KTP laser fiber without injury to the patient. No adverse patient outcomes have been documented in the literature with THRIVE during LLS.ConclusionTHRIVE is a safe and effective form of tubeless anesthesia and apneic oxygenation during LLS, with no adverse patient safety events reported in the literature. Key determinants to maintain safety include optimal patient and team selection, effective surgeon‐anesthetist cooperation, and institutional protocols that govern intraoperative practice. Laryngoscope, 2024

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Update on ENT anaesthesia in children

Cited by 5 publications

References 9 publications

Essential notes: the anaesthetic management of an inhaled foreign body in a child

Essential notes: the anaesthetic management of an inhaled foreign body in a child

TIVA in children an editorial

Use of THRIVE for Apneic Oxygenation in Transoral Laser Microlaryngeal Surgery: A Scoping Review

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