Pediatric anesthesia & critical care

Transnasal humidified rapid-insufflation ventilatory exchange (transnasal humidified rapid insufflation ventilatory exchange (THRIVE)) use in a pediatric population: A prospective, randomized controlled trial

J Clin AnesthPublished Randomised controlled trial

Authors' conclusion

THRIVE was not superior to SOC for reducing the number of patients who experienced desaturations or surgical interruptions, though it may have some benefit for reducing the total number of desaturation events in those who desaturate.

Study context

Population
Children aged 2 months to 18 years undergoing airway examinations or airway procedures under GA
Participants
144 children
Comparison
THRIVE vs standard of care during airway procedures under GA
Primary endpoint
Participants with ≥1 relative desaturation event (4 % drop from average baseline saturation, oxygen desaturation index)
Methodological detailsprospective, multicentre (three pediatric sites), 1:1 randomisation
  • Prospective
  • Multicentre (three pediatric sites)
  • 1:1 randomisation

Primary result

As reported in the abstract

  • THRIVE vs standard of care (SOC): P = 0.18

Further findings

OutcomeP value
Total number of relative desaturation events (accounting for multiple events per participant)DifferenceP = 0.04

Surgical interruptions due to airway conditions

No differences between THRIVE and SOC

Original publication

Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) use in a pediatric population: A prospective, randomized controlled trial. J Clin Anesth. Published 3 January 2026. doi:10.1016/j.jclinane.2025.112117

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