Nasal high-flow oxygen therapy improves arterial oxygenation during one-lung ventilation in non-intubated thoracoscopic surgery
Journal
European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
Journal Volume
53
Journal Issue
5
Pages
1001
Date Issued
2018
Abstract
Intraoperative hypoxaemia during one-lung ventilation (OLV) remains a major concern in thoracic surgery. Non-intubated video-assisted thoracic surgery (VATS) involves a greater risk of consequent emergent conversion to endotracheal intubation. Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) has recently been reported to be beneficial for higher oxygen reserves during difficult intubations and for enhancing postoperative recovery after thoracic surgery. However, the effects of THRIVE on oxygenation and carbon dioxide elimination before and during OLV in non-intubated VATS have not been investigated.
Subjects
Anaesthesia; Arterial oxygenation; High-flow oxygen therapy; Non-intubated video-assisted thoracic surgery; One-lung ventilation; Transnasal humidified rapid-insufflation ventilatory exchange
Publisher
OXFORD UNIV PRESS INC
Type
journal article