Report of two cases of endobronchial tumour mass resection in children

Johansen, Mathias; Lakheeram, Indrani; Buu, Natalie

doi:10.1007/s12630-021-02055-6

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…Four patients (24%) desaturated and one (6%) had to be paralyzed for trismus and required intermittent intubation and mask ventilation. A group from Taiwan even used HFNO in three spontaneously breathing teenagers for thoracoscopic surgery under propofol sedation, with local anesthesia and an intercostal block and did not have any desaturation [41], and a group from Canada reported the use of HFNO in spontaneously breathing patients for endobronchial tumor mass resection (with ECMO stand-by) [42 ▪ ]. A multicenter trial with 530 children undergoing airway surgery has completed recruitment and will give further insights into this technique and into the differences between LFNO and HFNO for pediatric airway surgery (Australia and New Zealand Clinical Trials Registry: ACTRN12618000949280) [43].…”

Section: Applications Of Hfno Beyond Apneic Oxygenationmentioning

confidence: 99%

Apneic oxygenation in pediatric anesthesia

Kleine‐Brueggeney

Grosshauser

Greif

2022

Current Opinion in Anaesthesiology

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Purpose of reviewApneic oxygenation is increasingly used in pediatric anesthesia. Its benefit for specific applications depends on the effect of apneic oxygenation on safe apnea time and carbon dioxide (CO2) elimination, on differences between low and high flow oxygen delivery, and on possible adverse effects. The present review summarizes current evidence on these pathophysiological aspects of apneic oxygenation as well as its applications in pediatric anesthesia.Recent findingsApneic oxygenation with both low flow and high flow nasal oxygen increases the safe apnea time, but does not lead to increased CO2 elimination. Airway pressures and adverse effects like atelectasis formation, oxidative stress and aerosol generation under apneic oxygenation are not well studied in pediatric anesthesia. Data from adults suggest no important effect on airway pressures when the mouth is open, and no significant formation of atelectasis, oxidative stress or aerosol generation with high flow nasal oxygen.SummaryApneic oxygenation in pediatric anesthesia is mainly used during standard and difficult airway management. It is sometimes used for airway interventions, but CO2 accumulation remains a major limiting factor in this setting. Reports highlight the use of high flow nasal oxygen in spontaneously breathing rather than in apneic children for airway interventions.

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Section: Applications Of Hfno Beyond Apneic Oxygenationmentioning

confidence: 99%