We present the case of a 44-year-old male who was referred to our specialist benign airway disease service with epidermolysis bullosa acquisita causing supraglottic stenosis. He had previously had an attempted microlaryngoscopy at another institution, however this had been aborted due to failure to visualise the airway. Using Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) as a pre-and post-induction oxygenation (and partial ventilation) tool to increase the apnoeic window, we were able to safely obtain a patent airway and treat the patient's disease. We suggest that THRIVE can be used in high risk airway patients to increase apnoeic windows in order to extend the time that may be needed to obtain a safe airway.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.