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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Oxygenation techniques in head and neck surgery.

Alistair F McNarry1, Patrick A Ward1, Daniele Salvatore Paternò2

  • 1Departments of Anaesthesia, NHS Lothian, Scotland, UK.

Current Opinion in Anaesthesiology
|October 10, 2025
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Summary
This summary is machine-generated.

Advanced oxygenation techniques like high-flow nasal oxygen and jet ventilation improve head and neck surgery. Optimal patient oxygenation requires careful case selection, team collaboration, and comprehensive training for safe and effective delivery.

Keywords:
airway managementhead and neck surgeryhigh-flow nasal oxygenjet ventilationoxygenation techniques

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Area of Science:

  • Anesthesiology
  • Otolaryngology
  • Surgical Airway Management

Background:

  • Head and neck surgery presents unique challenges for maintaining adequate patient oxygenation due to complex pathologies, comorbidities, and shared airway access.
  • Recent technological advancements have introduced novel oxygenation strategies to address these challenges.

Purpose of the Study:

  • To review recent advances in oxygenation techniques for head and neck surgery.
  • To discuss the benefits and considerations of emerging oxygenation options.
  • To emphasize the importance of a multidisciplinary approach in selecting and implementing these techniques.

Main Methods:

  • Review of current literature on advanced oxygenation modalities in head and neck surgery.
  • Analysis of emerging evidence for high-flow nasal oxygen, jet ventilation, and ultra-narrow tracheal tube ventilation.
  • Discussion of case selection, team collaboration, and training requirements.

Main Results:

  • High-flow nasal oxygen shows promise for extended apneic oxygenation, enhancing surgical exposure but requiring vigilance regarding fire risk.
  • Jet ventilation offers versatility in delivery and improved CO2 clearance with newer devices.
  • Ultra-narrow tracheal tubes with flow-controlled ventilation enhance airway protection and surgical visualization.

Conclusions:

  • Optimal oxygenation strategies must be tailored to individual patient factors, surgical needs, and available resources.
  • A dynamic, team-based approach with robust rescue plans is crucial for safe and effective oxygenation during head and neck procedures.