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Review
. 2023 Oct-Dec;39(4):521-527.
doi: 10.4103/joacp.joacp_92_22. Epub 2023 Apr 19.

Trans-nasal humidified rapid insufflation ventilatory exchange (THRIVE) in neuroanesthesia practice: A review

Balaji Vaithialingam  1 , Kamath Sriganesh  1
Affiliations
Review

Trans-nasal humidified rapid insufflation ventilatory exchange (THRIVE) in neuroanesthesia practice: A review

Balaji Vaithialingam et al. J Anaesthesiol Clin Pharmacol. 2023 Oct-Dec.

Abstract

Respiratory management is an important aspect of care in neuroanesthesia practice for neurosurgical patients. A wide variety of procedures are performed under sedation in the neurosurgical population, and maintaining oxygenation is of paramount importance during these procedures. The high-flow oxygen devices improve arterial oxygenation by providing higher inspiratory oxygen concentration and maintaining higher dynamic positive airway pressure. These devices have gained importance during the recent years with regard to enhancing patient safety. This narrative review focuses on the role of trans-nasal humidified rapid insufflation ventilatory exchange (THRIVE) and high-flow nasal oxygenation (HFNO) techniques in the neuroanesthesia practice and electroconvulsive therapy.

Keywords: High-flow nasal oxygenation; THRIVE; neuroanesthesia; review.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Flow diagram showing selection of studies in this review
Figure 2
Figure 2
THRIVE use during fiber-optic intubation
Figure 3
Figure 3
THRIVE use during awake craniotomy
Figure 4
Figure 4
THRIVE use during ECT
See this image and copyright information in PMC

References

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