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Apneic oxygenation via nasal cannula for intubation of a premature neonate with multiple airway anomalies
  1. Genevieve E Staudt,
  2. Srijaya K Reddy and
  3. Alexander D Moore
  1. Anesthesiology, Monroe Carell Jr. Children’s Hospital at Vanderbilt, Nashville, Tennessee, USA
  1. Correspondence to Dr Srijaya K Reddy, srijaya.k.reddy{at}


Intubating a neonate under non-emergent conditions may be quite stressful, even for experienced providers, due to the potential for rapid oxygen desaturation. Pulmonary physiology and increased metabolic oxygen demand in this patient population contribute to accelerated oxygen desaturation during induction of anaesthesia and intubation. Using a nasal cannula, placed prior to induction of anaesthesia and left in place until the airway is secured, is a simple and effective way to provide apneic oxygenation and may help maintain adequate oxygen saturation. This technique may be particularly useful for patients who require additional time for intubation, including those with suspected difficult airways.

  • respiratory system
  • paediatrics
  • neonatal health
  • congenital disorders
  • lung function
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  • Contributors GES and ADM were responsible for drafting the manuscript, obtaining consent and images, and clinical care of the patient. SKR was responsible for drafting, editing and preparing the manuscript for submission to the journal. All authors approved the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Parental/guardian consent obtained.

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