Successful use of transnasal humidified rapid-insufflation ventilatory exchange during rigid bronchoscopy in a nonagenarian

Successful use of transnasal humidified rapid-insufflation ventilatory exchange during rigid bronchoscopy in a nonagenarian

Published: 27 Mar 2018

© Anaesthesia Cases / 2018-0036 / ISSN 2396-8397

Authors

Dr Sarah Muldoon [1]
Dr Desire Onwochei [2]
Mr Andrea Bille [3]
Dr Imran Ahmad [2]
  • [1] Senior Registrar, Anaesthetics Department, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom
  • [2] Consultant, Anaesthetics Department, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom
  • [3] Consultant, Thoracic Surgery Department, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom

Summary

A 98-year-old female was referred to our institution for thoracic intervention following the inadvertent aspiration of a button battery. She underwent rigid bronchoscopy using Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) for oxygenation, rather than traditional techniques, such as jet ventilation or oxygen insufflation via the bronchoscope. We believe this is one of the first published case reports of the use of THRIVE for rigid bronchoscopy in a nonagenerian and outline our experience using THRIVE and the evidence behind the technique.

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