• Anaesthesia · Sep 2019

    Editorial

    Carbon dioxide clearance during apnoea with high-flow nasal oxygen: epiphenomenon or a failure to THRIVE?

    Toner notes the rapid adoption of high-flow nasal oxygen for apnoeic oxygenation, particularly in the context of competing alternatives that have not enjoyed the same popularity.

    Specifically, it is highlighted that there is a lack of high-quality RCTs confirming the ability of Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) to acceptably clear CO2 with prolonged periods of apnoea. RCT results are awaited.

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    • A J Toner.
    • Department of Anaesthesia and Pain Medicine, Royal Perth Hospital, Perth, WA, Australia.
    • Anaesthesia. 2019 Sep 6.

    no abstract available

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    Notes

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    Toner notes the rapid adoption of high-flow nasal oxygen for apnoeic oxygenation, particularly in the context of competing alternatives that have not enjoyed the same popularity.

    Specifically, it is highlighted that there is a lack of high-quality RCTs confirming the ability of Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) to acceptably clear CO2 with prolonged periods of apnoea. RCT results are awaited.

    Daniel Jolley  Daniel Jolley
     
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