Optimizing Surgical Conditions with the Use of a Modified Spontaneous Respiration, Intravenous Anesthesia and High-Flow Nasal Oxygen for Pediatric Laser Laryngeal Surgery  

作　　者：Dennis E. Feierman Daniel Escobar Kim T. Lam Mark Kronenfeld Jacob Sutton Evan P. Salant Dennis E. Feierman;Daniel Escobar;Kim T. Lam;Mark Kronenfeld;Jacob Sutton;Evan P. Salant(Maimonides Medical Center, Department of Anesthesiology, Brooklyn, NY, USA;Northwell Staten Island University Hospital, New York, USA)

机构地区：[1]Maimonides Medical Center, Department of Anesthesiology, Brooklyn, NY, USA [2]Northwell Staten Island University Hospital, New York, USA

出　　处：《Open Journal of Anesthesiology》2023年第11期234-240,共7页麻醉学期刊（英文）

摘　　要：The use of SponTaneous Respiration using IntraVEnous anesthesia and High-flow nasal oxygen (STRIVE-Hi) in laryngeal surgery has become more widely reported. This method eliminates the endotracheal tube as a fuel for a potential fire. However, little has been published on its use in the pediatric population. Our case report describes its use in a 2-year-old undergoing micro-direct laryngoscopy with CO₂ assisted supraglottoplasty and rigid bronchoscopy for airway obstruction from congenital laryngomalacia. The STRIVE-Hi technique was modified for the pediatric patient by using a lower flow through the nasal cannula (4 L). No major changes in SpO₂ were detected during the 30-minute procedure. With back up airway safety equipment in place, STRIVE is proving to be a safe technique with major advantages when used in this unique scenario.The use of SponTaneous Respiration using IntraVEnous anesthesia and High-flow nasal oxygen (STRIVE-Hi) in laryngeal surgery has become more widely reported. This method eliminates the endotracheal tube as a fuel for a potential fire. However, little has been published on its use in the pediatric population. Our case report describes its use in a 2-year-old undergoing micro-direct laryngoscopy with CO₂ assisted supraglottoplasty and rigid bronchoscopy for airway obstruction from congenital laryngomalacia. The STRIVE-Hi technique was modified for the pediatric patient by using a lower flow through the nasal cannula (4 L). No major changes in SpO₂ were detected during the 30-minute procedure. With back up airway safety equipment in place, STRIVE is proving to be a safe technique with major advantages when used in this unique scenario.

关 键 词：STRIVE PEDIATRIC Direct Laryngoscopy LARYNGOMALACIA 

分 类 号：R76[医药卫生—耳鼻咽喉科]