During bronchoscopy hypoxemia is commonly found and oxygen supply can be delivered by interfaces fed with high gas flows. Recently, the high-flow nasal cannula (HFNC) has been introduced for oxygen therapy in adults, but they have not been used so far during bronchoscopy in adults. Forty-five patients were randomly assigned to 3 groups receiving oxygen: 40L/min through a Venturi mask (V40, N = 15), nasal cannula (N40, N = 15), and 60L/min through a nasal cannula (N60, N = 15) during bronchoscopy. Gas exchange and circulatory variables were sampled before (FiO(2) = 0.21), at the end of bronchoscopy (FiO(2) = 0.5), and thereafter (V40, FiO(2) = 0.35). In 8 healthy volunteers oxygen was randomly delivered according to V40, N40, and N60 settings, and airway pressure was measured. At the end of bronchoscopy, N60 presented higher PaO(2), PaO(2)/FiO(2), and SpO(2) than V40 and N40 that did not differ between them. In the volunteers (N60) median airway pressure amounted to 3.6cmH(2)O. Under a flow rate of 40L/min both the Venturi mask and HFNC behaved similarly, but nasal cannula associated with a 60L/min flow produced the better results, thus indicating its use in mild respiratory dysfunctions.

High-flow nasal interface improves oxygenation in patients undergoing bronchoscopy.

LUCANGELO, UMBERTO;BERLOT, GIORGIO;
2012-01-01

Abstract

During bronchoscopy hypoxemia is commonly found and oxygen supply can be delivered by interfaces fed with high gas flows. Recently, the high-flow nasal cannula (HFNC) has been introduced for oxygen therapy in adults, but they have not been used so far during bronchoscopy in adults. Forty-five patients were randomly assigned to 3 groups receiving oxygen: 40L/min through a Venturi mask (V40, N = 15), nasal cannula (N40, N = 15), and 60L/min through a nasal cannula (N60, N = 15) during bronchoscopy. Gas exchange and circulatory variables were sampled before (FiO(2) = 0.21), at the end of bronchoscopy (FiO(2) = 0.5), and thereafter (V40, FiO(2) = 0.35). In 8 healthy volunteers oxygen was randomly delivered according to V40, N40, and N60 settings, and airway pressure was measured. At the end of bronchoscopy, N60 presented higher PaO(2), PaO(2)/FiO(2), and SpO(2) than V40 and N40 that did not differ between them. In the volunteers (N60) median airway pressure amounted to 3.6cmH(2)O. Under a flow rate of 40L/min both the Venturi mask and HFNC behaved similarly, but nasal cannula associated with a 60L/min flow produced the better results, thus indicating its use in mild respiratory dysfunctions.
2012
http://www.hindawi.com/journals/ccrp/2012/506382/
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11368/2614023
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