Transnasal humidified rapid insufflation ventilatory exchange (THRIVE): A game changer in apnoeic anaesthesia for shared airway procedures – A retrospective study
Background and Aims: Transnasal humidified rapid insufflation ventilatory exchange (THRIVE) is a valuable adjunct during apnoea. Conventional techniques of apnoeic anaesthesia have limitations. THRIVE helps to maintain oxygenation during the apnoeic periods in tubeless airway surgeries. We aimed to...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Indian Journal of Anaesthesia |
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| Online Access: | https://journals.lww.com/10.4103/ija.ija_603_24 |
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| author | Minal Harde Manish Patil Anjana Sahu Charulata Deshpande R Akhilnath Kalpesh Pawara |
| author_facet | Minal Harde Manish Patil Anjana Sahu Charulata Deshpande R Akhilnath Kalpesh Pawara |
| author_sort | Minal Harde |
| collection | DOAJ |
| description | Background and Aims:
Transnasal humidified rapid insufflation ventilatory exchange (THRIVE) is a valuable adjunct during apnoea. Conventional techniques of apnoeic anaesthesia have limitations. THRIVE helps to maintain oxygenation during the apnoeic periods in tubeless airway surgeries. We aimed to evaluate tubeless apnoeic anaesthesia in shared airways using THRIVE to determine safe apnoea time.
Methods:
Two years of retrospective data were collected at a tertiary care centre, which included 60 patients in whom THRIVE was used for apnoeic anaesthesia. We appraised tubeless apnoeic anaesthesia in shared airways using THRIVE to determine safe apnoea time. Data on oxygenation, haemodynamic parameters, ventilation and the perioperative course were also collected. The data were analysed using GNU PSPP 1.0.1 software.
Results:
The patients’ mean age was 48.53 [standard deviation (SD):16.62] years. Microlaryngoscopy [24 (40%)], rigid bronchoscopy [12 (20%)], tracheal dilatation [12 (20%)] and foreign body removal [8 (13.3%)] were the common procedures. The mean apnoea time was 14.5 (SD: 2.05) min. Patients maintained normal haemodynamic parameters, with a mean oxygen saturation of 98% during apnoea. The highest mean end-tidal carbon dioxide at the end of apnoea was 55 mmHg, which normalised after 1–2 min of ventilation. Intermittent ventilation was done in eight patients as the apnoea time exceeded 20 min. Emergence and recovery were smooth, and none of the patients developed any complications throughout the procedure.
Conclusion:
THRIVE can be effectively and safely used for tubeless apnoeic anaesthesia, with an uninterrupted apnoea time of approximately 15 min without complications. |
| format | Article |
| id | doaj-art-9b4cb7beecc84c5180c1d91cb7af2055 |
| institution | Kabale University |
| issn | 0019-5049 0976-2817 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj-art-9b4cb7beecc84c5180c1d91cb7af20552025-01-07T05:46:28ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50490976-28172024-12-0168121075108010.4103/ija.ija_603_24Transnasal humidified rapid insufflation ventilatory exchange (THRIVE): A game changer in apnoeic anaesthesia for shared airway procedures – A retrospective studyMinal HardeManish PatilAnjana SahuCharulata DeshpandeR AkhilnathKalpesh PawaraBackground and Aims: Transnasal humidified rapid insufflation ventilatory exchange (THRIVE) is a valuable adjunct during apnoea. Conventional techniques of apnoeic anaesthesia have limitations. THRIVE helps to maintain oxygenation during the apnoeic periods in tubeless airway surgeries. We aimed to evaluate tubeless apnoeic anaesthesia in shared airways using THRIVE to determine safe apnoea time. Methods: Two years of retrospective data were collected at a tertiary care centre, which included 60 patients in whom THRIVE was used for apnoeic anaesthesia. We appraised tubeless apnoeic anaesthesia in shared airways using THRIVE to determine safe apnoea time. Data on oxygenation, haemodynamic parameters, ventilation and the perioperative course were also collected. The data were analysed using GNU PSPP 1.0.1 software. Results: The patients’ mean age was 48.53 [standard deviation (SD):16.62] years. Microlaryngoscopy [24 (40%)], rigid bronchoscopy [12 (20%)], tracheal dilatation [12 (20%)] and foreign body removal [8 (13.3%)] were the common procedures. The mean apnoea time was 14.5 (SD: 2.05) min. Patients maintained normal haemodynamic parameters, with a mean oxygen saturation of 98% during apnoea. The highest mean end-tidal carbon dioxide at the end of apnoea was 55 mmHg, which normalised after 1–2 min of ventilation. Intermittent ventilation was done in eight patients as the apnoea time exceeded 20 min. Emergence and recovery were smooth, and none of the patients developed any complications throughout the procedure. Conclusion: THRIVE can be effectively and safely used for tubeless apnoeic anaesthesia, with an uninterrupted apnoea time of approximately 15 min without complications.https://journals.lww.com/10.4103/ija.ija_603_24apnoeic anaesthesiaapnoeic oxygenationshared airwaytubeless airway surgeriesthrive |
| spellingShingle | Minal Harde Manish Patil Anjana Sahu Charulata Deshpande R Akhilnath Kalpesh Pawara Transnasal humidified rapid insufflation ventilatory exchange (THRIVE): A game changer in apnoeic anaesthesia for shared airway procedures – A retrospective study Indian Journal of Anaesthesia apnoeic anaesthesia apnoeic oxygenation shared airway tubeless airway surgeries thrive |
| title | Transnasal humidified rapid insufflation ventilatory exchange (THRIVE): A game changer in apnoeic anaesthesia for shared airway procedures – A retrospective study |
| title_full | Transnasal humidified rapid insufflation ventilatory exchange (THRIVE): A game changer in apnoeic anaesthesia for shared airway procedures – A retrospective study |
| title_fullStr | Transnasal humidified rapid insufflation ventilatory exchange (THRIVE): A game changer in apnoeic anaesthesia for shared airway procedures – A retrospective study |
| title_full_unstemmed | Transnasal humidified rapid insufflation ventilatory exchange (THRIVE): A game changer in apnoeic anaesthesia for shared airway procedures – A retrospective study |
| title_short | Transnasal humidified rapid insufflation ventilatory exchange (THRIVE): A game changer in apnoeic anaesthesia for shared airway procedures – A retrospective study |
| title_sort | transnasal humidified rapid insufflation ventilatory exchange thrive a game changer in apnoeic anaesthesia for shared airway procedures a retrospective study |
| topic | apnoeic anaesthesia apnoeic oxygenation shared airway tubeless airway surgeries thrive |
| url | https://journals.lww.com/10.4103/ija.ija_603_24 |
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