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Oxygenation with high-flow nasal cannula with 100% oxygen have now been evaluated in a number of studies and the data are convincing. The THRIVE technique is able to oxygenate patients safely and vital parameters has been shown to be stable. But it is of great importance to evaluate this new concept regarding other potential negative physiological aspects such as lung atelectasis and inflammatory stress response before implementing it into clinical practice.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intubation | Active Comparator | The patients will be intubated and ventilated |
|
| THRIVE | Experimental | The patients will be oxygenated during apnea using THRIVE |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| THRIVE | Device | Oxygenation during apnea using transversal humidified oxygen |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Electrical impedans tomography | Changes in lung volumes | baseline, intraoperative, 2 hours after start of intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Difference in Endtidal and arterial carbon dioxide partial pressure in the end of the procedure | Difference in Endtidal and arterial carbon dioxide partial pressure in the end of the procedure | max 30 minutes after start of intervention |
| Increase in arterial carbon dioxide during the apnea |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Malin Jonsson Fagerlund | Karolinska University Hospital and Karolinska Institutet | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karolinska University Hospital | Stockholm | Sweden |
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| ID | Term |
|---|---|
| D061485 | Tobacco Use Cessation Devices |
| D007442 | Intubation, Intratracheal |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D058109 | Airway Management |
| D007440 | Intubation |
| D008919 | Investigative Techniques |
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| Endotracheal intubation |
| Device |
Ventilation during the procedure is governed by an endotracheal tube in the trachea and mechanical ventilation |
|
Measurement of arterial blood gases and here arterial carbon dioxide |
| max 30 minutes after start of intervention |