Preoxygenation and apneic oxygenation using Transnasal Humidified Rapid-Insufflation Ventilatory Exchange for emergency intubation

Doyle, Alexander; Stolady, Daniel; Mariyaselvam, Maryanne; Wijewardena, Gayathri; Gent, Emma; Blunt, Mark; Young, Peter

doi:10.1016/j.jcrc.2016.06.011

Cited by 42 publications

(30 citation statements)

References 17 publications

(25 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Patients must have a patent airway and the surgeon and anaesthetist must have an individualised rescue plan based on the patient's pathophysiology. THRIVE is contraindicated where high‐flow oxygen may cause harm; base of skull fracture, CSF leak, fractures to midface, oesophageal rupture and pneumothorax. Care should be exercised in patients with a high BMI, until more information about effectiveness in this group is available.…”

Section: Discussionmentioning

confidence: 99%

The use of Transnasal Humidified Rapid‐Insufflation Ventilatory Exchange in 17 cases of subglottic stenosis

Harding

Scott

et al. 2017

Clinical Otolaryngology

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

The use of Transnasal Humidified Rapid‐Insufflation Ventilatory Exchange in 17 cases of subglottic stenosis

Harding

Scott

et al. 2017

Clinical Otolaryngology

View full text Add to dashboard Cite

“…[ 4 ] Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) which provides high flow humidified nasal oxygen also has been found to be effective in prolonging apnea time. [ 5 6 7 8 ] Hence in patients with anticipated difficult airway, delays during repeated intubation attempts might be better tolerated if preoxygenation was performed with either of the above-mentioned techniques.…”

Section: Introductionmentioning

confidence: 99%

Comparison of arterial oxygenation and acid-base balance with the use of transnasal humidified rapid-insufflation ventilatory exchange versus tidal volume breathing with continuous positive airway pressure for preoxygenation and apneic ventilation

et al. 2018

View full text Add to dashboard Cite

Background:Preoxygenation and apneic ventilation prolong apnea time without desaturation.Aims:The primary objective of this study is to compare arterial oxygenation during the periods of apnea following preoxygenation and apneic ventilation with tidal volume breathing for 3 min with continuous positive airway pressure (CPAP) versus with transnasal humidified rapid-insufflation ventilatory exchange (THRIVE).Settings and Designs:This prospective randomized study was conducted in 20 adult patients at a tertiary care institution.Subjects and Methods:Group C patients (n = 10) were preoxygenated with 100% oxygen using a face mask at a rate of 6 L/min for 3 min with CPAP of 15 cm of H2O. In Group H, oxygen was administered using THRIVE at 30 L/min for 3 min. Apneic ventilation was given in Group C with 10 L/min oxygen with CPAP of 15 cm H2O and in Group H with THRIVE at 60 L/min. The endpoint was desaturation to 90% or maximum duration of 12 min.Statistical Analysis Used:Chi-square test and Mann–Whitney test.Results:Both groups tolerated apnea for 12 min without desaturation. PaO2 in Group C was significantly higher than Group H from 3 min of apnea to 12 min. The PaCO2 was significantly lower in Group C from 6 min. The pH was comparable in both groups except at 12 min with Group H having significantly lower pH.Conclusion:Tidal volume breathing with CPAP resulted in significantly higher arterial oxygen levels than THRIVE, though both modalities were equally effective in prolonging apnea time without desaturation up to 12 min. Group C showed an added advantage of lower PaCO2 with less acidemia.

show abstract

“…The functional residual capacity, defined as the volume of gas remaining after passive expiration, is the most important source of oxygen for preoxygenization [2] . However, because of the fear of hypoxia, 100% oxygen that is easily used is not so innocent [3] .…”

Section: Introductionmentioning

confidence: 99%

Deneysel Rat Modeli: Anestezi İndüksiyonu Öncesi %100 O2 İle Preoksijenizasyon Uygun mu Değil mi?

Erel¹,

Yılmaz²,

Celik³

et al. 2018

Kafkas Univ Vet Fak Derg

View full text Add to dashboard Cite

Preoxygenation is recommended method for prolonging safe time due to airway concerns before induction of anesthesia. However, debates about the damages of hyperoxemia in intensive care patients and chest diseases have been made for a long time and the issues related to oxygen management have taken place in the guidelines. Our aim was to determine the pathological and biochemical results of preoxygenation with 100% O2, based on the hypothesis that some damagescan be seen, even in the short duration of hyperoxia. Firstly, a container for rat model of preoxygenation was designed. Four and six month old healthy 16 male rats were randomly divided into two groups [Group21 (n=8): 21% O2 and Group100 (n=8): 100% O2]. Groups were sacrificed under the ketamine and xylazine (50 and 5 mg/kg, respectively) at the end of 5 min. Blood, lung, heart, liver, and kidney samples were taken for biochemical tests and histopathological grades of tissue damage. The data were analyzed statistically by Mann-Whitney-U test. This study is significant in terms of the direct toxic effects of preoxygenation with 100% O2 before anesthesia induction. However, there is a need for further studies on the determination of the ideal O2 concentration for preoxygenation in patients. Keywords ÖzPreoksijenizasyon anestezide indüksiyon öncesi havayolu endişeleri nedeniyle güvenli zamanı uzatmak adına hala önerilen ve uygulanan bir yöntemdir. Ancak yoğun bakım hastaları ve göğüs hastalıkları açısından hiperokseminin zararları ile ilgili tartışmalar çok uzun zamandır yapılmış ve klavuzlarda oksijen yönetimi ile ilgili hususlar yerini almıştır. Hiperokseminin indüksiyon sırasındaki kısa süreli uygulamasında bile bazı hasarların olacağı hipotezinden yola çıkarak %100 O2 ile preoksijenizasyonun patolojik ve biyokimyasal sonuçlarını saptamak üzere bu çalışmayı planladık. Öncelikle, preoksijenizasyonun hayvan modeli için bir konteyner tasarlandı. Dört-altı aylık sağlıklı 16 erkek rat rastgele iki gruba ayrıldı [Grup 21 (n=8): %21 O2 ve Grup 100 (n=8): %100 O2]. Gruplar 5 dk. istenilen konsantrasyonda kaldıktan sonra ketamin ve xylazin (sırasıyla 50 ve 5 mg/ kg) ile uyutularak sakrifiye edildi. Histopatolojik olarak doku hasarı derecelendirmesi ve biyokimyasal testler için kan, akciğer, kalp, karaciğer, böbrek doku örnekleri alındı. Veriler Mann-Whitney-U testi ile istatistiksel olarak değerlendirildi. Bu çalışma anestezi indüksiyonunda %100 O2 ile preoksijenizasyonun akciğerdeki direkt toksik etkilerini göstermesi açısından anlamlıdır. Ancak hastalarda preoksijenizasyon için ideal olan O2 konsantrasyonunun belirlenmesiyle ilgili olarak daha kapsamlı çalışmalara ihtiyaç vardır.

show abstract

Preoxygenation and apneic oxygenation using Transnasal Humidified Rapid-Insufflation Ventilatory Exchange for emergency intubation

Cited by 42 publications

References 17 publications

The use of Transnasal Humidified Rapid‐Insufflation Ventilatory Exchange in 17 cases of subglottic stenosis

The use of Transnasal Humidified Rapid‐Insufflation Ventilatory Exchange in 17 cases of subglottic stenosis

Comparison of arterial oxygenation and acid-base balance with the use of transnasal humidified rapid-insufflation ventilatory exchange versus tidal volume breathing with continuous positive airway pressure for preoxygenation and apneic ventilation

Deneysel Rat Modeli: Anestezi İndüksiyonu Öncesi %100 O2 İle Preoksijenizasyon Uygun mu Değil mi?

Contact Info

Product

Resources

About