Saracoglu A, Pence HH, Yilmaz M, Saracoglu KT (2018) Apneic Oxygenation and High Flow. Int J Anesthetic Anesthesiol 5:081.


© 2018 Saracoglu A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

REVIEW ARTICLE | OPEN ACCESS DOI: 10.23937/2377-4630/1410081

Apneic Oxygenation and High Flow

Ayten Saracoglu1*, Halime Hanim Pence2, Mehmet Yilmaz3, and Kemal Tolga Saracoglu3

1Department of Anesthesiology and Reanimation, Marmara University, School of Medicine, Turkey

2Department of Medical Biochemistry, Health Sciences University, Turkey

3Department of Anesthesiology and Reanimation, Health Sciences University, Turkey


Prevention and minimizing serious complications during difficult airway management is an important goal for anesthesia providers. Using the high flow cannula oxygenation systems it is possible to improve the clinical outcomes, increase patient safety and reduce the rate of complications. A possible mechanism of this method can be explain by 'Aventilatory Mass Flow' which is a physilogical phenomenon. Several methods can be used to implement apneic oxygenation such as nasopharyngeal catheter, nasal cannula, face mask, Venturi mask, transtracheal endobronchial catheters, dual blade laryngoscopes and High Flow Nasal Cannula Oxygenation (HFNCO) systems. However each method has some restrictions. In this review we aim to focus on the important features of HFNCO systems including the indications, contraindications and possible complications.