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Anaes SAQsAirway management

Anaes SAQs · Airway management

Apnoeic oxygenation and THRIVE

Primary-viva (basic-science) question on the physiology of apnoeic oxygenation, the THRIVE technique, the comparison with NO-DESAT, the high-risk and difficult-airway applications, and the limitations (patent airway required, rising carbon dioxide, no aspiration protection).

10 marks10 min2 min readVerification in progress

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ANZCAFRCAABAEDAICFCAIFCA_SA
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Target exams

ANZCAFRCAABAEDAICFCAIFCA_SA
Prompt
Explain the physiology by which apnoeic oxygenation maintains the arterial saturation during apnoea, describe the technique of transnasal humidified rapid-insufflation ventilatory exchange (THRIVE), and outline the clinical situations in which it is most useful and its limitations.

Question

Explain the physiology by which apnoeic oxygenation maintains the arterial saturation during apnoea, describe the technique of transnasal humidified rapid-insufflation ventilatory exchange (THRIVE), and outline the clinical situations in which it is most useful and its limitations[1][3].

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References4ShowHide
  1. [1]Campanella A, Guglielmi R, Zattera L, Jacas A, Ferrando C High-Flow Nasal Oxygen in the Perioperative Setting: A Narrative Review. Anaest Crit Care Pain Med, 2026.PMID 41903885
  2. [2]Gutierrez L, Chittal A, Fiore S, Tiberio P Preoxygenation When Standard Approaches Fail: Phenotype-Based Strategies for High-Risk Emergent Intubations. J Clin Med, 2026.PMID 41976778
  3. [3]Salhotra R, Kemprai R, Rautela R, Kapoor R, Armo M Comparative efficacy of NO-DESAT and THRIVE for peri-oxygenation in patients with anticipated difficult airway. Indian J Anaesth, 2026.PMID 42145287
  4. [4]Patel A, Nouraei SA Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE): a physiological method of increasing apnoea time in patients with difficult airways. Anaesthesia, 2015.PMID 25388828
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