Place of high-flow nasal oxygen in nonoperating room anesthesia.

IF 2.3 3区医学 Q2 ANESTHESIOLOGY

Current Opinion in Anesthesiology Pub Date : 2024-08-01 Epub Date: 2024-04-30 DOI:10.1097/ACO.0000000000001383

Mai-Anh Nay, Adrien Auvet

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引用次数: 0

Abstract

Purpose of review: This article aims to assess the utility of high-flow nasal oxygen (HFNO) therapy in nonoperating room anesthesia (NORA) settings.

Recent findings: The number of procedural interventions under deep sedation in NORA is still increasing. Administration of oxygen is recommended to prevent hypoxemia and is usually delivered with standard oxygen through nasal cannula or a face mask. HFNO is a simple alternative with a high warmed humidified flow (ranging from 30 to 70 l/min) with a precise fraction inspired of oxygen (ranging from 21 to 100%). Compared to standard oxygen, HFNO has demonstrated efficacy in reducing the incidence of hypoxemia and the need for airway maneuvers. Research on HFNO has primarily focused on its application in gastrointestinal endoscopy procedures. Yet, it has also shown promising results in various other procedural interventions including bronchoscopy, cardiology, and endovascular procedures. However, the adoption of HFNO prompted considerations regarding cost-effectiveness and environmental impact.

Summary: HFNO emerges as a compelling alternative to conventional oxygen delivery methods for preventing hypoxemia during procedural interventions in NORA. However, its utilization should be reserved for patients at moderate-to-high risk to mitigate the impact of cost and environmental factors.

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在非手术室麻醉中使用高流量鼻氧。

综述目的：本文旨在评估高流量鼻氧（HFNO）疗法在非手术室麻醉（NORA）环境中的实用性：最近的研究结果：非手术室麻醉中深度镇静下的程序干预数量仍在增加。建议使用氧气来预防低氧血症，通常是通过鼻插管或面罩提供标准氧气。高频硝化氧是一种简单的替代方法，它具有较高的加温加湿流量（30 至 70 升/分钟不等）和精确的氧气吸入量（21 至 100%）。与标准氧气相比，高频硝化氧在降低低氧血症发生率和减少气道操作需求方面具有明显疗效。有关高频硝化氧的研究主要集中在胃肠道内窥镜手术中的应用。然而，它在其他各种手术干预中也显示出良好的效果，包括支气管镜检查、心脏病学和血管内手术。总结：高频硝化氧是一种令人信服的方法，可替代传统的供氧方法，防止 NORA 手术介入过程中出现低氧血症。然而，高频硝化氧应仅限于中高风险患者使用，以减轻成本和环境因素的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Anesthesiology 医学-麻醉学

CiteScore

4.90

自引率

8.00%

发文量

207

审稿时长

12 months

期刊介绍： Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in Anesthesiology features hand-picked review articles from our team of expert editors. With fifteen disciplines published across the year – including cardiovascular anesthesiology, neuroanesthesia and pain medicine – every issue also contains annotated references detailing the merits of the most important papers.