The use of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) in one hundred and five upper airway endoscopies. A case series*

Eleanor Waters, Maximiliane Kellner, Pamela Milligan, Richard M. Adamson, Iain J. Nixon, Alistair F. McNarry*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

The successful use of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) has up to now only been reported in small groups by dedicated teams.
We report its effective use in 105 cases having upper airway endoscopy cared for by a variety of surgeons and anaesthetists.
THRIVE still has a failure rate of between 3 and 6% and clinicians need to have a Plan B to effectively oxygenate the patient.
Causes of failure are multifactorial but obesity is one statistically significant factor identified by our work.
Ninety-five percent of our patient cohort could successfully be oxygenated for 20 minutes

KEYWORDS
Airway Management/ methods; Apnea/ surgery; Oxygen/ administration and dosage; Carbon Dioxide/ physiology; Laryngoscopy; Anesthesia/ methods
Original languageEnglish
JournalClinical Otolaryngology
Early online date29 Jul 2019
DOIs
Publication statusE-pub ahead of print - 29 Jul 2019

Keywords

  • airway management/methods
  • anaesthesia/methods
  • apnoea/surgery
  • carbon dioxide/physiology
  • laryngoscopy
  • oxygen/administration and dosage

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