HIGH-FLOW NASAL OXYGEN THERAPY: AN ALTERNATIVE TO PRE-OXYGENATION IN THE OPERATING ROOM
Main Article Content
Abstract
High-flow nasal oxygen therapy (HFO) is a device that supplies warmed and humidified inspiratory gas through a nasal cannula at higher flow rates than conventional oxygen therapy, with an inspired oxygen fraction that can fluctuate from 21% to 100%. The primary aim of our study is to compare the efficacy of ONHD versus face mask. This trial was an experimental cohort study carried out at the Central Block of the Ibn Rochd University Hospital in Casablanca, over a period of three months, and involved 40 patients distributed into two groups: the face mask PO group (n=20) and the ONHD PO group (n=20). We evaluated apnea time without desaturation (SPO2˃95%), mean SPO2 during pre-oxygenation and apnea time, ETCO2 value after intubation and the frequency of complications during pre-oxygenation, The results show that ONHD compared with the face mask prolongs the duration of apnea without desaturation (SPO2˃95%), especially in high-risk patients, especially obese individuals.
Article Details
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
2. Dysart K, Miller TL, Wolfson MR, Shaffer TH. Research in high flow therapy: mechanisms of action. Respir Med. 2009;103(10):1400-1405. doi:10.1016/j.rmed.2009.04.007
3. Miguel-Montanes R, Hajage D, Messika J, et al. Use of high-flow nasal cannula oxygen therapy to prevent desaturation during tracheal intubation of intensive care patients with mild-to-moderate hypoxemia. Crit Care Med. 2015;43(3):574-583. doi:10.1097/CCM.0000000000000743
4. Hodgson KA, Owen LS, Kamlin COF, et al. Nasal High-Flow Therapy during Neonatal Endotracheal Intubation. N Engl J Med. 2022;386(17):1627-1637. doi:10.1056/NEJMoa2116735
5. Masson E. Préoxygénation en anesthésie. EM-Consulte. Accessed March 31, 2024. https://www.em-consulte.com/article/198686/preoxygenation-en-anesthesie
6. Kim SH, Bang S, Lee KY, et al. Comparison of high flow nasal oxygen and conventional nasal cannula during gastrointestinal endoscopic sedation in the prone position: a randomized trial. Can J Anaesth. 2021;68(4):460-466. doi:10.1007/s12630-020-01883-2
7. Spence EA, Rajaleelan W, Wong J, Chung F, Wong DT. The Effectiveness of High-Flow Nasal Oxygen During the Intraoperative Period: A Systematic Review and Meta-analysis. Anesth Analg. 2020;131(4):1102-1110.
doi:10.1213/ANE.0000000000005073
8. El-Boghdadly K, Onwochei DN, Cuddihy J, Ahmad I. A prospective cohort study of awake fibreoptic intubation practice at a tertiary centre. Anaesthesia. 2017;72(6):694-703. doi:10.1111/anae.13844
9. Physiologic Effects of High-Flow Nasal Cannula in Acute Hypoxemic Respiratory Failure. doi:10.1164/rccm.201605-0916OC
10. Shiho D, Kusaka Y, Nakano S, Umegaki O. The short-term efficacy of high flow nasal oxygen therapy on cardiovascular surgical patients: a randomized crossover trial. BMC Anesthesiology. 2022;22(1):331.
doi:10.1186/s12871-022-01883-3
11. Jaber S, Monnin M, Girard M, et al. Apnoeic oxygenation via high-flow nasal cannula oxygen combined with non-invasive ventilation preoxygenation for intubation in hypoxaemic patients in the intensive care unit: the single-centre, blinded, randomised controlled OPTINIV trial. Intensive Care Med. 2016;42(12):1877-1887. doi:10.1007/s00134-016-4588-9