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Paediatric anaesthesia · Mar 2020
ReviewNasal High-Flow Oxygen in Paediatric Anaesthesia and Airway Management.
- Susan Humphreys and Andreas Schibler.
- Paediatric Critical Care Research Group, Child Health Research Centre, The University of Queensland, Brisbane, QLD, Australia.
- Paediatr Anaesth. 2020 Mar 1; 30 (3): 339-346.
AbstractNasal High-Flow (NHF) is weight-dependent in children, aimed to match peak inspiratory flow and thereby deliver an accurate FiO2 with a splinting pressure of 4-6 cm H2 O. During apnea in children, NHF oxygen can double the expected time to desaturation below 90% in well children but there is no ventilatory exchange; therefore, children do not "THRIVE". Total intravenous anesthesia competency to maintain spontaneous breathing is an important adjunct for successful NHF oxygenation technique during anesthesia. Jaw thrust to maintain a patent upper airway is paramount until surgical instrumentation occurs. There is no evidence to support safe use of NHF oxygen with LASER use due to increased risk of airway fire.© 2019 John Wiley & Sons Ltd.
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