nach oben

Indian Journal of Otolaryngology and Head & Neck Surgery

Erschienen in:

05.01.2024 | Original Article

Trans-nasal Humidified Rapid Insufflation Ventilatory Exchange (THRIVE) and its Utility in Otolaryngology, Head and Neck Surgery: A Literature Review

verfasst von: Saikrishna Ananthapadmanabhan, Akshay Kudpaje, Dinesh Raju, Mark Smith, Faruque Riffat, Daniel Novakovic, Murray Stokan, Carsten E. Palme

Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery | Ausgabe 2/2024

Einloggen, um Zugang zu erhalten

Abstract

High-flow nasal oxygen (HFNO) therapy is extensively used in critical care units for spontaneously breathing patients. Trans-nasal humidified rapid insufflation ventilatory exchange (THRIVE) is a method of apnoeic oxygenation with continuous nasal delivery of warmed, humidified oxygen at high-flow rates up to 70L/min. THRIVE extends the apnoeic window before desaturation occurs so that tubeless anaesthesia is possible. The advent of THRIVE has had a monumental impact on anaesthetic practice, with a diverse range of clinical applications and it has been incorporated into difficult airway guidelines. THRIVE has many applications in otolaryngology and head and neck surgery. It is used as a pre-oxygenation tool during induction in both anticipated and unanticipated difficult airway scenarios and as a method of oxygenation for tubeless anaesthesia in elective laryngotracheal and hypopharyngeal surgeries and during emergence from anaesthesia. In this scoping review of the literature, we aim to provide an overview on the utility of THRIVE in otolaryngology, including the underlying physiologic principles, current indications and limitations, and its feasibility and safety in different surgical contexts and specific population groups.

Arora G, Arshad Z, Prakash R et al (2023) High-flow nasal cannula as an alternative weaning strategy: a randomized controlled trial. Cureus 15(3):e36511. https://doi.org/10.7759/cureus.36511CrossRefPubMedPubMedCentral

Patel A, Nouraei S (2015) Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE): a physiological method of increasing apnoea time in patients with difficult airways. Anaesthesia 70(3):323–329. https://doi.org/10.1111/anae.12923CrossRefPubMed

Wong D, Dallaire A, Singh K et al (2019) High-flow nasal oxygen improves safe apnea time in morbidly obese patients undergoing general anesthesia: a randomized controlled trial. Anesth Analg 129(4):1130–1136. https://doi.org/10.1213/ANE.0000000000003966CrossRefPubMed

Hua Z, Liu Z, Li Y et al (2020) Transnasal humidified rapid insufflation ventilatory exchange vs. facemask oxygenation in elderly patients undergoing general anaesthesia: a randomized controlled trial. Sci Rep 10(1):5745. https://doi.org/10.1038/s41598-020-62716-2CrossRefPubMedPubMedCentral

Ng I, Krieser R, Mezzavia P et al (2018) The use of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) for pre-oxygenation in neurosurgical patients: a randomised controlled trial. Anaesth Intensive Care 46(4):360–367. https://doi.org/10.1177/0310057X1804600403CrossRefPubMed

Burra V, Putta G, Prasad S et al (2021) A prospective study on use of thrive (transnasal humidified rapid insufflation ventilatory exchange) versus conventional nasal oxygenation following extubation of adult cardiac surgical patients. Ann Card Anaesth 24(3):353–357. https://doi.org/10.4103/aca.ACA_16_20CrossRefPubMedPubMedCentral

Guy L, Christensen R, Dodd B et al (2022) The effect of transnasal humidified rapid-insufflation ventilator exchange (THRIVE) versus nasal prongs on safe apnoea time in paralysed obese patients: a randomised controlled trial. Br J Anaesth 128(2):375–381. https://doi.org/10.1016/j.bja.2021.10.048CrossRefPubMed

Rajan S, Joseph N, Tosh P et al (2018) Effectiveness of transnasal humidified rapid-insufflation ventilatory exchange versus traditional preoxygenation followed by apnoeic oxygenation in delaying desaturation during apnoea: a preliminary study. Indian J Anaesth 62(3):202–207. https://doi.org/10.4103/ija.IJA_717_17CrossRefPubMedPubMedCentral

Binks M, Holyoak R, Melhuish T et al (2017) Apnoeic oxygenation during intubation in the intensive care unit: a systematic review and meta-analysis. Heart Lung 46(6):452–457. https://doi.org/10.1016/j.hrtlng.2017.08.001CrossRefPubMed

10.

Lodenius A, Piehl J, Östlund A et al (2018) Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) vs. facemask breathing pre-oxygenation for rapid sequence induction in adults: a prospective randomised non-blinded clinical trial. Anaesthesia 73(5):564–571. https://doi.org/10.1111/anae.14215CrossRefPubMed

11.

Higgs A, McGrath B, Goddard C et al (2018) Guidelines for the management of tracheal intubation in critically ill adults. Br J Anaesth 120(2):323–352. https://doi.org/10.1016/j.bja.2017.10.021CrossRefPubMed

12.

Huang L, Dharmawardana N, Badenoch A et al (2020) A review of the use of transnasal humidified rapid insufflation ventilatory exchange for patients undergoing surgery in the shared airway setting. J Anesth 34(1):134–143. https://doi.org/10.1007/s00540-019-02697-3CrossRefPubMed

13.

Pearson K, McGuire B (2017) Anaesthesia for laryngo-tracheal surgery, including tubeless field techniques. BJA Education 17(7):242–248. https://doi.org/10.1093/bjaed/mkx004CrossRef

14.

Benninger M, Zhang E, Chen B et al (2021) Utility of transnasal humidified rapid insufflation ventilatory exchange for microlaryngeal surgery. Laryngoscope 131(3):587–591. https://doi.org/10.1002/lary.28776CrossRefPubMed

15.

Lau J, Loizou P, Riffat F et al (2019) The use of THRIVE in otolaryngology: our experiences in two Australian tertiary facilities. Aust J Otolaryngol 2:22. https://doi.org/10.21037/ajo.2019.07.02CrossRef

16.

Lyons C, Callaghan M (2017) Apnoeic oxygenation with high-flow nasal oxygen for laryngeal surgery: a case series. Anaesthesia 72(11):1379–1387. https://doi.org/10.1111/anae.14036CrossRefPubMed

17.

Gustafsson I, Lodenius A, Tunelli J et al (2017) Apnoeic oxygenation in adults under general anaesthesia using Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) – a physiological study. Br J Anaesth 118(4):610–617. https://doi.org/10.1093/bja/aex036CrossRefPubMed

18.

Badiger S, John M, Fearnley R et al (2015) Optimizing oxygenation and intubation conditions during awake fibre-optic intubation using a high-flow nasal oxygen-delivery system. Br J Anaesth 115(4):629–632. https://doi.org/10.1093/bja/aev262CrossRefPubMed

19.

Caruso T, Sidell D, Lenning M et al (2019) Transnasal Humidified Rapid Insufflation Ventilatory Exchange (THRIVE) augments oxygenation in to children with cyanotic heart disease during microdirect laryngoscopy and bronchoscopy. J Clin Anesth 56:53–54. https://doi.org/10.1016/j.jclinane.2019.01.029CrossRefPubMed

20.

Rudolf B, Hohenhorst W (2013) Use of apneic oxygenation for the performance of pan-endoscopy. Otolaryngol Head Neck Surg 149(2):235–239. https://doi.org/10.1177/0194599813486248CrossRef

21.

Waters E, Kellner M, Milligan P et al (2019) The use of Transnasal Humidified Rapid-insufflation Ventilatory Exchange (THRIVE) in one hundred and five upper airway endoscopies. A case series. Clin Otolaryngol 44(6):1115–1119. https://doi.org/10.1111/coa.13408CrossRefPubMed

22.

Stewart K, McNarry A, Nixon I (2019) Transnasal humidified rapid insufflation ventilatory exchange (THRIVE) in Elective Laryngopharyngoscopy. Clin Otolaryngol 44(6):1239–1241. https://doi.org/10.1111/coa.13447CrossRefPubMed

23.

Huang L, Athanasiadis T, Woods C et al (2019) The use of transnasal humidified rapid insufflation ventilatory exchange in laryngeal and pharyngeal surgery: flinders case series. Aust J Otolaryngol 2:17. https://doi.org/10.21037/ajo.2019.05.02CrossRef

24.

Nekhendzy V, Saxena A, Mittal B et al (2020) The safety and efficacy of transnasal humidified rapid-insufflation ventilatory exchange for laryngologic surgery. Laryngoscope 130(12):E874-881. https://doi.org/10.1002/lary.28562CrossRefPubMed

25.

Ma B, Liu F, Wang D et al (2022) High-flow nasal cannula in nonlaser microlaryngoscopic surgery: a prospective study of 19 cases in a Chinese population. BMC Anesthesiol 22(1):81. https://doi.org/10.1186/s12871-022-01627-3CrossRefPubMedPubMedCentral

26.

Yang S, Wu C, Tseng W et al (2019) Nonintubated laryngomicrosurgery with transnasal humidified rapid-insufflation ventilatory exchange: a case series. J Formos Med Assoc 118(7):1138–1143. https://doi.org/10.1016/j.jfma.2018.11.009CrossRefPubMed

27.

Huh G, Min S, Cho S et al (2022) Application and efficiency of transnasal humidified rapid-insufflation ventilatory exchange in laryngeal microsurgery. Laryngoscope 132(5):1061–1068. https://doi.org/10.1002/lary.29848CrossRefPubMed

28.

Srivastava R, Agarwal A, Agarwal S et al (2019) High flow nasal cannula: a game changer in airway surgery. Indian J Otolaryngol Head Neck Surg 71(3):299–303. https://doi.org/10.1007/s12070-019-01717-8CrossRefPubMedPubMedCentral

29.

Ridgway R, Dumbarton T, Brown Z (2019) Update on ENT anaesthesia in children. Anaesth Intensive Care Med 20(1):56–60CrossRef

30.

Srivastava R, Pathak M, Mallan D (2021) THIRVE in foreign body bronchus removal–a novel approach. Indian J Otolaryngol Head Neck Surg 73(3):356–359. https://doi.org/10.1007/s12070-021-02577-xCrossRefPubMedPubMedCentral

31.

Castano-Ramirez D, Zamudio-Castilla L, Tintinago-Londono L et al (2022) Transnasal humidified rapid insufflation ventilatory exchange in laryngotracheal resection and reconstruction: a report of two pregnant cases. Anesth Pain Med 12(3):e123829. https://doi.org/10.5812/aapm-123829CrossRefPubMedPubMedCentral

32.

Booth A, Vidhani K, Lee P et al (2017) SponTaneous Respiration using IntraVEnous anaesthesia and Hi-flow nasal oxygen (STRIVE Hi) maintains oxygenation and airway patency during management of the obstructed airway: an observational study. Br J Anaesth 118(3):444–451. https://doi.org/10.1093/bja/aew468CrossRefPubMedPubMedCentral

33.

Lemay F, Cooper J, Thompson S et al (2020) Combination of transnasal humidified rapid-insufflation ventilatory exchange with high frequency jet ventilation for shared airway surgery. Can J Anaesth 67(9):1264–1265. https://doi.org/10.1007/s12630-020-01635-2CrossRefPubMed

34.

To K, Harding F, Scott M et al (2017) The use of transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) in 17 cases of subglottic stenosis. Clin Otolaryngol 42(6):1407–1410. https://doi.org/10.1111/coa.12921CrossRefPubMed

35.

Tam K, Jeffery C, Sung C (2017) Surgical management of supraglottic stenosis using intubationless optiflow. Ann Otol Rhinol Laryngol 126(9):669–672. https://doi.org/10.1177/0003489417720220CrossRefPubMed

36.

Maupeu L, Raguin T, Hengen M et al (2019) Indications of Transnasal Humidified Rapid- Insufflation Ventilatory Exchange (THRIVE) in laryngoscopy, a prospective study of 19 cases. Clin Otolaryngol 44(2):182–186. https://doi.org/10.1111/coa.13252CrossRefPubMed

37.

Youssef D, Paddle P (2021) Tubeless anesthesia in subglottic stenosis: comparative review of apneic low-flow oxygenation with THRIVE. Laryngoscope 132(6):1231–1236. https://doi.org/10.1002/lary.29885CrossRefPubMed

38.

Inglis D, Gilhooly M, Patel A (2019) The simultaneous use of three ventilatory techniques to maintain oxygenation in a patient undergoing tracheal laser resection of tumour. Anaesth Rep 7(2):70–72. https://doi.org/10.1002/anr3.12021CrossRefPubMedPubMedCentral

39.

Novakovic D, Sheth M, Fellner A et al (2023) Microlaryngeal laser surgery using high-flow nasal ventilation at two oxygen concentration deliveries. Laryngoscope 133(3):634–639. https://doi.org/10.1002/lary.30271CrossRefPubMed

40.

Khan N, Vukkadala N, Saxena A et al (2023) Safety and utility of transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) for laser laryngeal surgery. Otolaryngol Head Neck Surg. https://doi.org/10.1002/ohn.324CrossRefPubMed

41.

Bharathi M, Kumar M, Prakash B et al (2021) New visionary in upper airway surgeries–THRIVE, a tubeless ventilation. Indian J Otolaryngol Head Neck Surg 73(2):246–251. https://doi.org/10.1007/s12070-021-02491-2CrossRefPubMedPubMedCentral

42.

Slutsky A (1981) Gas mixing by cardiogenic oscillations: a theoretical quantitative analysis. J Appl Physiol Respir Environ Exerc Physiol 51(5):1287–1293. https://doi.org/10.1152/jappl.1981.51.5.1287CrossRefPubMed

43.

Slutsky A, Brown R (1982) Cardiogenic oscillations: a potential mechanism enhancing oxygenation during apneic respiration. Med Hypotheses 8(4):393–400. https://doi.org/10.1016/0306-9877(82)90032-9CrossRefPubMed

44.

Meltzer S, Auer J (1909) Continuous respiration without respiratory movements. J Exp Med 11:622–625. https://doi.org/10.1084/jem.11.4.622CrossRefPubMedPubMedCentral

45.

Volhard F (1908) Uber kunstliche Atmung durch Ventilation der Trachea und eine einfache Vorrichtung zur hytmischen kunstlichen Atmung. München Medizinische Wochenschrift 55:209–211

46.

Draper W, Whitehead R, Spencer J (1947) Studies on diffusion respiration: alveolar gases and venous blood pH of dogs during diffusion respiration. Anesthesiology 8(5):524–533. https://doi.org/10.1097/00000542-194709000-00009CrossRefPubMed

47.

Nouraei R, Shorthouse J, Keegan J et al (2018) What is Transnasal Humidified Rapid- Insufflation Ventilatory Exchange (THRIVE)? ENT & Audiology News 27(2). Accessed from https://www.entandaudiologynews.com/development/spotlight-on-innovation/post/what-is-transnasal-humidified-rapid-insufflation-ventilatory-exchange-thrive

48.

Laviola M, Das A, Chikhani M et al (2019) Computer simulation clarifies mechanisms of carbon dioxide clearance during apnoea. Br J Anaesth 122(3):395–401. https://doi.org/10.1016/j.bja.2018.11.012CrossRefPubMed

49.

Hermez L, Spence C, Payton M et al (2019) A physiological study to determine the mechanism of carbon dioxide clearance during apnoea when using transnasal humidified rapid insufflation ventilatory exchange (THRIVE). Anaesthesia 74(4):441–449. https://doi.org/10.1111/anae.14541CrossRefPubMedPubMedCentral

50.

Lyons C, Callaghan M (2019) Uses and mechanisms of apnoeic oxygenation: a narrative review. Anaesthesia 74(4):497–507. https://doi.org/10.1111/anae.14565CrossRefPubMed

51.

Parke R, Eccleston M, McGuinness S (2011) The effects of flow on airway pressure during nasal high-flow oxygen therapy. Respir Care 56(8):1151–1155. https://doi.org/10.4187/respcare.01106CrossRefPubMed

52.

Parke R, McGuinness S, Eccleston M (2009) Nasal high-flow therapy delivers low level positive airway pressure. Br J Anaesth 103(6):886–890. https://doi.org/10.1093/bja/aep280CrossRefPubMedPubMedCentral

53.

Riva T, Meyer J, Theiler L et al (2021) Measurement of airway pressure during high-flow nasal therapy in apnoeic oxygenation: a randomised controlled crossover trial. Anaesthesia 76(1):27–35. https://doi.org/10.1111/anae.15224CrossRefPubMed

54.

Weingart S, Levitan R (2012) Preoxygenation and prevention of desaturation during emergency airway management. Ann Emerg Med 59(3):165–175. https://doi.org/10.1016/j.annemergmed.2011.10.002CrossRefPubMed

55.

Toner A (2020) Carbon dioxide clearance during apnoea with high-flow nasal oxygen: Epiphenomenon or a failure to THRIVE? Anaesthesia 75(5):580–582. https://doi.org/10.1111/anae.14848CrossRefPubMed

56.

Lyons C (2019) Carbon dioxide clearance during apnoea. Anaesthesia 74(6):816–817. https://doi.org/10.1111/anae.14689CrossRefPubMed

57.

Lyons C, Callaghan M (2021) Apnoeic oxygenation in paediatric anaesthesia: a narrative review. Anaesthesia 76(1):118–127. https://doi.org/10.1111/anae.15107CrossRefPubMed

58.

Grude O, Solli H, Andersen C et al (2018) Effect of nasal or nasopharyngeal apneic oxygenation on desaturation T during induction of anesthesia and endotracheal intubation in the operating room: a narrative review of randomized controlled trials. J Clin Anesth 51:1–7. https://doi.org/10.1016/j.jclinane.2018.07.002CrossRefPubMed

59.

Ramachandran S, Cosnowski A, Shanks A et al (2010) Apneic oxygenation during prolonged laryngoscopy in obese patients: a randomized, controlled trial of nasal oxygen administration. J Clin Anesth 22(3):164–168. https://doi.org/10.1016/j.jclinane.2009.05.006CrossRefPubMed

60.

Salah B, Xuan A, Fouilladieu J et al (1988) Nasal mucociliary transport in healthy subjects is slower when breathing dry air. Eur Respir J 1:852–855CrossRefPubMed

61.

Fontanari P, Burnet H, Zattara-Hartmann C et al (1996) Changes in airway resistance induced by nasal inhalation of cold ddry, dry, or moist air in normal individuals. J Appl Physiol 81(4):1739–1743. https://doi.org/10.1152/jappl.1996.81.4.1739CrossRefPubMed

62.

Chen L, Yang L, Tian W et al (2020) Transnasal humidified rapid insufflation ventilatory exchange with nasopharyngeal airway facilitates apneic oxygenation: a randomized clinical noninferiority trial. Front Med (Lausanne) 7:577891. https://doi.org/10.3389/fmed.2020.577891CrossRefPubMed

63.

Forsberg I, Ullman J, Hoffman A et al (2020) Lung volume changes in Apnoeic Oxygenation using Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) compared to mechanical ventilation in adults undergoing laryngeal surgery. Acta Anaesthesiol Scand 64(10):1491–1498. https://doi.org/10.1111/aas.13686CrossRefPubMedPubMedCentral

64.

Piosik Z, Dirks J, Rasmussen L et al (2021) Exploring the limits of prolonged apnoea with high-flow nasal oxygen: an observational study. Anaesthesia 76(6):798–804. https://doi.org/10.1111/anae.15277CrossRefPubMed

65.

Forsberg I, Mkrtchian S, Ebberyd A et al (2021) Biomarkers for oxidative stress and organ injury during THRIVE compared to mechanical ventilation in adults undergoing microlaryngoscopy - a randomised controlled study. Acta Anaesthesiol Scan 65(9):1276–1284. https://doi.org/10.1111/aas.13927CrossRef

66.

Jagannathan N, Burjek N (2017) Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) in children: a step forward in apnoeic oxygenation, paradigm-shift in ventilation, or both? Br J Anaesth 118(2):150–152. https://doi.org/10.1093/bja/aew432CrossRefPubMed

67.

Kleine-Brueggeney M, Grosshauser M, Greif R (2022) Apneic oxygenation in pediatric anesthesia. Curr Opin Anaesthesiol 35(3):361–366. https://doi.org/10.1097/ACO.0000000000001127CrossRefPubMed

68.

George S, Wilson M, Humphreys S et al (2022) Apnoeic oxygenation during paediatric intubation: a systematic review. Front Pediatr 10:918148. https://doi.org/10.3389/fped.2022.918148CrossRefPubMedPubMedCentral

69.

Humphreys S, Lee-Archer P, Reyne G et al (2017) Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) in children: a randomized controlled trial. Br J Anaesth 118(2):232–238. https://doi.org/10.1093/bja/aew401CrossRefPubMed

70.

Riva T, Pedersen T, Seiler S et al (2018) Transnasal humidified rapid insufflation ventilatory exchange for oxygenation of children during apnoea: a prospective randomised controlled trial. Br J Anaesth 120(3):592–599. https://doi.org/10.1016/j.bja.2017.12.017CrossRefPubMed

71.

Shippam W, Preston R, Douglas J et al (2019) High-flow nasal oxygen vs. standard flow-rate facemask pre-oxygenation in pregnant patients: a randomised physiological study. Anaesthesia 74(4):450–456. https://doi.org/10.1111/anae.14567CrossRefPubMed

72.

Cook T, Woodall N, Frerk C et al (2011) Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br J Anaesth 106(5):617–631. https://doi.org/10.1093/bja/aer058. (Epub 2011 Mar 29)CrossRefPubMed

73.

Mir F, Patel A, Iqbal R et al (2017) A randomised controlled trial comparing transnasal humidified rapid insufflation ventilatory exchange (THRIVE) pre-oxygenation with facemask pre-oxygenation in patients undergoing rapid sequence induction of anaesthesia. Anaesthesia 72(4):439–443. https://doi.org/10.1111/anae.13799CrossRefPubMed

74.

Okland T, Liu G, Caruso T et al (2020) Prospective evaluation of the safety and efficacy of THRIVE for children undergoing airway evaluation. Pediatr Qual Saf 5(5):e348. https://doi.org/10.1097/pq9.0000000000000348CrossRefPubMedPubMedCentral

75.

Caruso T, Gupta A, Sidell D et al (2019) The successful application of high flow nasal oxygen during microdirect laryngoscopy and T bronchoscopy in patients under 7 kg. J Clin Anesth 52:27–28. https://doi.org/10.1016/j.jclinane.2018.08.027CrossRefPubMed

76.

Humphreys S, Ungern-Sternberg B, Skowno J et al (2019) High-flow oxygen for children’s airway surgery: randomised controlled trial protocol (HAMSTER). BMJ Open 9(10):e031873. https://doi.org/10.1136/bmjopen-2019-031873CrossRefPubMedPubMedCentral

77.

Baudouin R, Rigal T, Circiu M et al (2022) Feasibility and safety of THRIVE in transoral laser microsurgery. Am J Otolaryngol 43(5):103605. https://doi.org/10.1016/j.amjoto.2022.103605CrossRefPubMed

78.

Huang L, Badenoch A, Vermeulen M et al (2022) Risk of airway fire with the use of KTP laser and high flow humidified oxygen delivery in a laryngeal surgery model. Sci Rep 12(1):543. https://doi.org/10.1038/s41598-021-04636-3CrossRefPubMedPubMedCentral

79.

Chang M, Chen J, Lin S et al (2022) Fire safety study on high-flow nasal oxygen in shared-airway surgeries with diathermy and laser: simulation based on a physical model. J Clin Monit Comput 36(3):649–655. https://doi.org/10.1007/s10877-021-00690-4CrossRefPubMed

80.

Stuermer K, Ayachi S, Gostian A et al (2013) Hazard of CO2 laser-induced airway fire in laryngeal surgery: experimental data of contributing factors. Eur Arch Otorhinolaryngol 270(10):2701–2707. https://doi.org/10.1007/s00405-013-2521-1CrossRefPubMed

81.

Ward P (2017) THRIVE and airway fires. Anaesthesia 72(8):1035. https://doi.org/10.1111/anae.13993CrossRefPubMed

82.

Onwochei D, El-Boghdadly K, Oakley R et al (2017) Intra-oral ignition of monopolar diathermy during transnasal humidified rapid-insufflation ventilatory exchange (THRIVE). Anaesthesia 72(6):781–783. https://doi.org/10.1111/anae.13873CrossRefPubMed

83.

Chang M, Kwak H, Kim J et al (2023) Effect of high-flow nasal oxygenation on gastric insufflation in patients undergoing laryngeal microsurgery under tubeless general anesthesia with neuromuscular blockade. J Clin Med 12(5):1800. https://doi.org/10.3390/jcm12051800CrossRefPubMedPubMedCentral

84.

McLellan E, Lam K, Behringer E et al (2020) High-flow nasal oxygen does not increase the volume of gastric secretions during spontaneous ventilation. Br J Anaesth 125(1):e75–e80. https://doi.org/10.1016/j.bja.2020.02.023CrossRefPubMed

Titel: Trans-nasal Humidified Rapid Insufflation Ventilatory Exchange (THRIVE) and its Utility in Otolaryngology, Head and Neck Surgery: A Literature Review
verfasst von: Saikrishna Ananthapadmanabhan
Akshay Kudpaje
Dinesh Raju
Mark Smith
Faruque Riffat
Daniel Novakovic
Murray Stokan
Carsten E. Palme
Publikationsdatum: 05.01.2024
Verlag: Springer India
Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery / Ausgabe 2/2024
Print ISSN: 2231-3796
Elektronische ISSN: 0973-7707
DOI: https://doi.org/10.1007/s12070-023-04445-2

Neu im Fachgebiet HNO

Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

29.05.2024 Larynxkarzinom Nachrichten

Fast ein Viertel der Personen mit mäßig dysplastischen Stimmlippenläsionen entwickelt einen Kehlkopftumor. Solche Personen benötigen daher eine besonders enge ärztliche Überwachung.

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

29.05.2024 Hörstörungen Nachrichten

Hört jemand im Alter schlecht, nimmt das Hirn- und Hippocampusvolumen besonders schnell ab, was auch mit einem beschleunigten kognitiven Abbau einhergeht. Und diese Prozesse scheinen sich unabhängig von der Amyloidablagerung zu ereignen.

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

Betalaktam-Allergie: praxisnahes Vorgehen beim Delabeling

16.05.2024 Pädiatrische Allergologie Nachrichten

Die große Mehrheit der vermeintlichen Penicillinallergien sind keine. Da das „Etikett“ Betalaktam-Allergie oft schon in der Kindheit erworben wird, kann ein frühzeitiges Delabeling lebenslange Vorteile bringen. Ein Team von Pädiaterinnen und Pädiatern aus Kanada stellt vor, wie sie dabei vorgehen.

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Trans-nasal Humidified Rapid Insufflation Ventilatory Exchange (THRIVE) and its Utility in Otolaryngology, Head and Neck Surgery: A Literature Review

Abstract

Neu im Fachgebiet HNO

Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

Betalaktam-Allergie: praxisnahes Vorgehen beim Delabeling

Update HNO

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2024

Exploring the OTITIS Research Landscape Through a Scientometric Approach

Total Thyroidectomy while on Extracorporeal Membrane Oxygenation for Thyroid Storm

Comparison of the Prevalence of Body Dysmorphic Disorder in Rhinoplasty Patients and its Influence on its Surgical Outcomes

Otoplasty in Adults: Psychological Impacts on Quality of Life

Meta-analysis of the Relationship Between Neutrophil to Lymphocyte Ratio and Nasal Polyps

Surgical Treatment of Concha Bullosa: A Comparison of the Short-term Results of Crushing and Lateral Laminectomy with and without Mucosal Preservation

Neu im Fachgebiet HNO

Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

Betalaktam-Allergie: praxisnahes Vorgehen beim Delabeling

Update HNO