Pediatric anesthesia & critical care
Effect of high‐flow nasal and buccal oxygenation on safe apnea time in children with open mouth: A randomized controlled trial
Authors' conclusion
High-flow nasal oxygenation is effective in maintaining appropriate arterial oxygen saturation during apnea even in children with their mouth open and is superior to buccal oxygenation.
Study context
- Population
- Children aged 0–10 years under GA with neuromuscular blockade, head extended and mouth open during apnea
- Participants
- 38 children
- Comparison
- HFNO vs BO
- HFNOn = 17
- BOn = 21reference
- Primary endpoint
- Success in prolongation of safe apnea time (target apnea time reached before SpO2 fell to 92%)
Primary result
As reported in the abstract
Success rate of safe apnea prolongation
P = 0.04
Further findings
Oxygen reserve index, end-tidal or transcutaneous CO2 partial pressure, pulse oximetry
- Did not differ between groups
Original publication
Effect of high‐flow nasal and buccal oxygenation on safe apnea time in children with open mouth: A randomized controlled trial. Paediatr Anaesth. Published 28 August 2024. doi:10. 1111/ pan. 14982
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