Effectiveness of nasal high-flow oxygen during apnoea on hypoxaemia and intubation success in paediatric emergency and ICU settings

George, S., Williams, T., Humphreys, S., Atkins, T., Tingay, D., Gelbart, B., Pham, T., Craig, S., Erickson, S., Chavan, A., Rasmussen, K., Ganeshalingham, A., Oberender, F., Ganu, S., Singhal, N., Gibbons, K., Le Marsney, R., Burren, J., Schlapbach, L., Gannon, B., Jones, M., Dalziel, S., Schibler, A. The Lancet Respiratory Medicine DOI: 10.1016/ S2213-2600(25)00085-2

Abstract: The use of nasal high-flow (NHF) oxygen for apnoeic oxygenation during emergency paediatric intubation is not universally adopted. Although previous studies suggest potential benefits, it remains unclear whether NHF enhances the likelihood of achieving successful first-attempt intubation without oxygen desaturation in children. We aimed to investigate whether the provision of NHF oxygen during paediatric emergency intubation can improve intubation outcomes.