ArticleCureus2026
Spontaneous Respiration Using Intravenous Anesthesia and High-Flow Nasal Oxygen (STRIVE-Hi) for Prolonged Rigid Bronchoscopy in a Patient With Functional Single-Lung Physiology.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Rigid bronchoscopy in patients with functional single-lung physiology presents a considerable anesthetic challenge because interruption of spontaneous ventilation may rapidly result in severe hypoxemia. Although spontaneous respiration using intravenous anesthesia and high-flow nasal oxygen (STRIVE-Hi) has been described as a technique that facilitates prolonged apneic oxygenation, evidence regarding its application to preserve spontaneous ventilation during prolonged rigid bronchoscopy remains limited. A 55-year-old man with complete obstruction of the left main bronchus secondary to post-intubation tracheobronchial stenosis underwent prolonged rigid bronchoscopy using a modified STRIVE-Hi technique. High-flow nasal oxygen (70 L/min, fraction of inspired oxygen (FiO₂) 1.0) was combined with target-controlled total intravenous anesthesia using propofol (Eleveld model) and remifentanil (Minto model) to maintain spontaneous ventilation throughout the procedure. Bronchoscopy lasted approximately two hours. Four transient desaturation episodes (lowest peripheral oxygen saturation (SpO₂) 83%) occurred exclusively during balloon dilation and resolved after brief procedural pauses without conversion to positive-pressure ventilation or interruption of the intervention. Spontaneous ventilation was preserved from induction to emergence. This case demonstrates the feasibility of a modified STRIVE-Hi approach to facilitate prolonged rigid bronchoscopy while maintaining spontaneous ventilation in a patient with severely limited pulmonary reserve. Individualizing the anesthetic strategy according to respiratory physiology may represent a useful alternative in selected patients undergoing complex airway procedures.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.