Published in:
Open Access
01-12-2015 | Poster presentation
Transnasal humidified rapid insufflation ventilatory exchange for pre-oxygenation and apnoeic oxygenation during rapid sequence induction
Authors:
M Mariyaselvam, D Stolady, G Wijewardena, M Blunt, P Young
Published in:
Critical Care
|
Special Issue 1/2015
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Excerpt
Rapid sequence induction (RSI) in the ICU, emergency department (ED) and operating room (OR) carries the risk of hypoxemia if laryngoscopy is prolonged especially in high-risk patients. Bag and mask pre-oxygenation is normally used to extend the apnoea time; however, arterial desaturation may still rapidly occur. Transnasal humidified rapid insufflation ventilatory exchange (THRIVE) is a new technique that provides modest CPAP during pre-oxygenation and crucially also continuous oxygenation of the pharyngeal space throughout the apnoeic period. In elective surgery, THRIVE provides apnoea times as long as 60 minutes due to apnoeic oxygenation [
1]. We report the first implementation of THRIVE with emergency patients into the ICU, ED and OR. …
