Paediatric Surgery Essentials
No matter how much they want it, airway management and the decision to place a surgical patient on a ventilator should not just be for the PICU physicians to decide. The type of ventilation a patient receives can affect the surgical patient both positively and negatively. Could High Flow Nasal Cannula in the surgical patient be beneficial? Imagine a patient with an esophageal anastomosis that is extubated to CPAP. Now imagine the tears that would flow from the surgeon when they discover bilateral pneumothoraces and a blown-out anastomosis. Tragic. Therefore, we must weigh the risks and benefits of intubation versus the various respiratory adjuncts as a multidisciplinary group rather than territorial separatists.
Lapkus M, Khandar P. High flow nasal cannula in the surgical patient. Paediatric Surgery Essentials 2020 Jul 28; http://www.paediatricsurgeryessentials.com.