Central venous cannulations in pediatric patients require procedural sedation. Chances of desaturation are increased with anesthesia and maneuvers reducing functional residual capacity, especially in critically ill patients. Airvo™ is a device which can provide oxygen at very high flows with accurate and titratable FiO2. We present a case with where Airvo™ was instituted while securing central venous access in a patient with nephrotic syndrome with ascites.
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