• A & A case reports · Nov 2017

    Case Reports

    Use of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange for Emergent Surgical Tracheostomy: A Case Report.

    • Neel Desai and Anna Fowler.
    • From the Department of Anaesthetics, Royal National Throat, Nose and Ear Hospital, Kings Cross, London, United Kingdom.
    • A A Case Rep. 2017 Nov 1; 9 (9): 268-270.

    AbstractTransnasal humidified rapid-insufflation ventilatory exchange (THRIVE) is a novel airway technique that utilizes high-flow humidified nasal oxygen. It can extend apnea time and maintain oxygen saturation. Here we report the use of THRIVE in a 35-year-old man who required emergent surgical tracheostomy for a clinically relevant compromised airway secondary to acute supraglottic and glottic pathology. Intravenous sedation resulted in hypoventilation close to apnea. THRIVE maintained oxygen saturation for 40 minutes until transient desaturation developed after complete airway obstruction.

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