High Flow Nasal Cannula: A Game Changer in Airway Surgery

  • Rakesh Srivastava
  • Ashish Chandra AgarwalEmail author
  • Shishir Agarwal
  • Manu Pathak
Original Article


High flow nasal cannula (HFNC) delivers humidified oxygen at high flow. Its use during airway procedures has many advantages. The study was done to determine the duration of apnea time, safety and compatibility with laser, while using HFNC during airway procedures. A prospective study was done at a tertiary care hospital between March 2017 and August 2017 on 16 patients. HFNC was used during airway surgeries for various pathologies. There were 11 males and 5 females. The patient age ranged from 4 days to 28 years. HFNC provided an unobstructed view of the surgical field, laser could be used safely, there was an increase in the apnea window, and post-operative symptoms like throat irritation and cough were infrequent. Usage of HFNC provides an unobstructed view of the surgical field and reduces post-operative discomfort. It helps in difficult airway situations by optimizing oxygenation and increasing the apnea time.


Airway surgery HFNC THRIVE 



The authors acknowledge the support provided by Dr. Anil Patel, Consultant, The Royal National Ear Nose and Throat Hospital and Honorary Senior Lecturer at University College London.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Association of Otolaryngologists of India 2019

Authors and Affiliations

  • Rakesh Srivastava
    • 1
  • Ashish Chandra Agarwal
    • 2
    Email author
  • Shishir Agarwal
    • 1
  • Manu Pathak
    • 1
  1. 1.Sushrut Institute of Plastic Surgery & Super-specialty HospitalLucknowIndia
  2. 2.Department of ENTDr. Ram Manohar Lohia Institute of Medical SciencesLucknowIndia

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