Apnoeic oxygenation with high-flow nasal oxygen in adult patients undergoing endoscopic pharyngolaryngeal surgery: a clinical review
Sophie Harris, Alistair F McNarry, Patrick A Ward · 2026
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Description
Sophie Harris and colleagues review tubeless anaesthesia for throat and voice-box surgery, publishing the clinical review in 2026. Endoscopic pharyngolaryngeal operations need a clear view of the tongue base, pharynx, larynx, and upper gullet, so the anaesthetist must oxygenate without a tube blocking the field. High-flow nasal oxygen during apnoea has spread widely over the past decade, yet it suits neither every patient nor every lesion.
The review explains the physiology behind apnoeic oxygenation, weighs its benefits against limits such as carbon-dioxide build-up and fire risk, and compares open and closed airway strategies. It stresses team-based case selection and a rescue oxygenation plan ready at all times. Surgeons, nurses, and anaesthetists get a practical guide to using the technique safely and knowing when to abandon it.
Catalog record
| CREATOR | Sophie Harris, Alistair F McNarry, Patrick A Ward |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 38 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |