Optimizing High Flow Nasal Cannula Oxygenation in Pediatric Airway Procedures: a Randomized Study
The University of Texas Health Science Center, Houston
Summary
The purpose of this study is to investigate which flow rate (higher versus lower) is most effective at increasing apneic time and preventing greater than 5% drop in desaturation, as well as assessing transcutaneous carbon dioxide (CO2) levels during airway procedures in children
Eligibility
- Age range
- 0–17 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * undergoing laryngoscopy and bronchoscopy procedures at Children's Memorial Hermann Hospital (CMHH) * weight greater than or equal to 5 kilograms and using flow rates between 5 to 45 liters per minute (BTPS) Exclusion Criteria: * Emergency type cases, tracheostomy patients, unrepaired cyanotic heart disease, nasal deformity/choanal atresia, or cautery/laser type procedures
Interventions
- DeviceHigh flow
The High Flow Nasal Cannula (HFNC) device (Vapotherm) will be placed through the nostrils for oxygen (2L/kg per min with max of 45L)
- DeviceLow Flow
The High Flow Nasal Cannula (HFNC) device (Vapotherm) will be placed through the nostrils for oxygen (0.5L/kg per min with max of 5L)
Location
- The University of Texas Health Science Center at HoustonHouston, Texas