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Apneic anesthesia with THRIVE for pediatric bronchial foreign body removal: A case series
Anesthesia for impacted tracheobronchial foreign body (FB) removal in pediatrics is challenging owing to shared airway, need of tubeless apneic anesthesia, and higher risk of airway complications. Transnasal humidified rapid insufflation ventilatory exchange (THRIVE) has unique applications for apne...
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| Published in: | Saudi journal of anaesthesia 2023-04, Vol.17 (2), p.239-241 |
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| Main Authors: | , , |
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| Language: | English |
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| container_end_page | 241 |
| container_issue | 2 |
| container_start_page | 239 |
| container_title | Saudi journal of anaesthesia |
| container_volume | 17 |
| creator | Harde, Minal J Kamble, Trupti Ramchandani, Pooja |
| description | Anesthesia for impacted tracheobronchial foreign body (FB) removal in pediatrics is challenging owing to shared airway, need of tubeless apneic anesthesia, and higher risk of airway complications. Transnasal humidified rapid insufflation ventilatory exchange (THRIVE) has unique applications for apneic anesthesia. The authors describe two pediatric cases of impacted lower bronchial FB that were difficult to retrieve and required long procedure time. They were done successfully under apneic anesthesia using THRIVE that provided intermittent total apnea of 58 and 62 min, respectively, with single-continuous apnea time of 13-18 min. THRIVE facilitated the procedure by providing a safe long apnea time without desaturation and with permissible increase in PaCo
while maintaining hemodynamic parameters and oxygenation. |
| doi_str_mv | 10.4103/sja.sja_638_22 |
| format | article |
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Transnasal humidified rapid insufflation ventilatory exchange (THRIVE) has unique applications for apneic anesthesia. The authors describe two pediatric cases of impacted lower bronchial FB that were difficult to retrieve and required long procedure time. They were done successfully under apneic anesthesia using THRIVE that provided intermittent total apnea of 58 and 62 min, respectively, with single-continuous apnea time of 13-18 min. THRIVE facilitated the procedure by providing a safe long apnea time without desaturation and with permissible increase in PaCo
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| ispartof | Saudi journal of anaesthesia, 2023-04, Vol.17 (2), p.239-241 |
| issn | 1658-354X 0975-3125 |
| language | eng |
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| source | Publicly Available Content Database; Medknow Open Access Medical Journals; PubMed Central |
| subjects | Anesthesia apneic anesthesia Bronchoscopy Case Report Foreign bodies Pediatric anesthesia pediatric bronchial foreign body Succinylcholine thrive |
| title | Apneic anesthesia with THRIVE for pediatric bronchial foreign body removal: A case series |
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