A postoperative comparison of high-flow nasal cannula therapy and conventional oxygen therapy for esophageal cancer patients

Xia, Mei; Li, Weina; Yao, Jie; Jin, Ying; Du, Gaoli; Xu, Qiang; Yi, Xing; Nv, Xiaoxia; Wu, Yi; He, Ping; Wu, Wei

doi:10.21037/apm-20-1539

Cited by 15 publications

(8 citation statements)

References 32 publications

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“…We found similar results in the meta-analysis of Du et al (23). In different operations, compared with COT, the use of HFNC on patients after surgery has been shown to prevent atelectasis (24)(25)(26)(27). For cardiac surgery, especially in obese patients, the prevention of atelectasis by HFNC is still controversial.…”

Section: Discussionmentioning

confidence: 99%

Comparison of High-flow Nasal Cannula (HFNC) and Conventional Oxygen Therapy in Obese Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-analysis

Wang¹,

Zhu²,

Wang³

et al. 2021

In Vivo

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2521Abstract. Background/Aim: High-flow nasal cannula (HFNC), a new method for postoperative oxygenation, has increasingly received attention during postoperative care. However, its importance for obese patients undergoing cardiac surgery remains controversial. This systematic review and meta-analysis compared and evaluated HFNC and conventional oxygen therapy (COT) in this patient group. Materials and Methods: Literature was retrieved by searching eight public databases. Randomized controlled trials (RCTs) were selected. RevMan 5.3 was used to analyze the results and any potential bias. The primary outcome included atelectasis score at 24 h postoperatively. The secondary outcomes included PaO2/FiO2 (ratio), dyspnea score at 24 h postoperatively, intensive care unit (ICU) length of stay, and reintubation. Results: The search strategy yielded 382 studies after duplicates were removed. Finally, 3 RCTs with a total of 526 patients were included in the present study. Compared with COT, there was no significant difference in atelectasis score, dyspnea score, reintubation, and ICU length of stay. Conclusion: For obese patients undergoing cardiac surgery, postoperative use of HFNC can maintain patient's oxygenation. Additional clinical studies are needed to investigate the role of HFNC in this patient group.

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Section: Discussionmentioning

confidence: 99%

Comparison of High-flow Nasal Cannula (HFNC) and Conventional Oxygen Therapy in Obese Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-analysis

Wang¹,

Zhu²,

Wang³

et al. 2021

In Vivo

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“…Postoperative pulmonary complications mainly include atelectasis, pneumonia and respiratory failure, which usually cause to hypoxemia. Previous studies showed that perioperative interventions, including protective ventilation strategy [18,19], high-ow nasal cannula [20], epidural analgesia and regional anesthesias [21], respiratory physiotherapy [22,23], can reduce PPCs and improve oxygenation with thoracic and abdominal surgery. However, no high-quality evidence was found for interventions to reduce incidence of PPCs [24,25].…”

Section: Discussionmentioning

confidence: 99%

The effects of regional anesthesia combined with awake delayed extubation in patients undergoing esophageal cancer surgery: a single-blind randomized controlled trial

Yang,

He,

Lin

et al. 2024

Preprint

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Objective: Postoperative pulmonary complications (PPCs) are the most frequent complications after esophagectomy, which usually causes to hypoxemia. The aim of this study is to evaluate whether regional anesthesia combined with awake delayed extubation improves postoperative oxygenation index after esophagectomy. Methods: Ninety patients diagnosed with esophageal cancer undergoing elective thoracolaparoscopic esophagectomy were randomized to three groups, control group (C group), regional anesthesia group (N group) and regional anesthesia combined with awake delayed extubation group (ND group). Regional anesthesia included serratus anterior plane block, transversus abdominis plane block, and rectus abdominis sheath block. Awake delayed extubation was defined as removing the endotracheal tube 30 min after waking up. The primary outcome was postoperative oxygenation index; secondary outcomes were the incidence of PPCs, analgesics consumption, postoperative pain scores, time to first flatus, time to first defecation, and hospital stays. Results: The oxygenation index of ND group was significantly higher than the N group（P＜0.05) and C group（P<0.05) at 1 hour and 24 hours postoperatively. The incidence of PPCs was significantly lower in the ND group than in the N group and C group (61.5% vs.51.8% vs. 25.9%, p = 0.026*). Conclusion: Regional anesthesia combined with awake delayed extubation can significantly improve postoperative oxygenation index, reduce the incidence of PPCs, and promote patient recovery after thoracolaparoscopic esophageal cancer surgery. Trial registration: The study was registered on Chinese Clinical Trial Registry, (ChiCTR2200066726) on 12/05/2023.

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“…Nevertheless, it has a disadvantage that it can not provide reliable FiO 2 or reduce patients' work of breathing. 16,17 HFNC can make up for its limitations. As for the possible reason, HFNC can increase mucus clearance rate, and improve dead space volume and lung mechanics, thereby improving the tidal volume and ensuring effective alveolar ventilation.…”

Section: Discussionmentioning

confidence: 99%

Effect of high-flow nasal cannula on patients’ recovery after inhalation general anesthesia

Liu¹,

Jin²,

Li³

et al. 2023

Pak J Med Sci

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Objective: To investigate the effect of high-flow nasal cannula (HFNC) and Oxygen Nebuliser mask (ONM) on patients recovering from inhalation anesthesia. Methods: A retrospective analysis was performed on 128 patients after inhalation of general anesthesia in the recovery room of the Anesthesiology Department of The Fourth Hospital of Hebei Medical University from September 2019 to September 2021. All patients received the same anesthesia induction and analgesia methods, inhalation anesthesia or intravenous-inhalation anesthesia maintenance, recovered spontaneous breathing and removed endotracheal intubation after surgery, then were divided into HFNC group and ONM group for oxygen therapy. HFNC setting mode: flow rate: 20-60 L/minutes, humidification temperature: 370C, the oxygen concentration was adjusted to maintain finger pulse oxygen saturation SPO2>90%; ONM group, the oxygen flow rate was adjusted to maintain finger pulse oxygen saturation SPO2>90%. All patients in the two groups were compared immediately after they entered the recovery room for 0 minutes,, 10 minutes, and 20 minutes, including tidal volume, blood gas, Richmond Agitation-Sedation Scale (RASS) score and time from sedation to awakening. Results: The changes in tidal volume, oxygenation index and RASS score over time in the HFNC group were higher than those in the ONM group (p<0.05), and the awakening time in the HFNC group was faster than that in the ONM group (p<0.01), with significant statistical differences. Conclusions: Compared with ONM, HFNC can shorten postoperative recovery time, reduce the incidence of agitation and improve lung function and oxygenation state during recovery from anesthesia. doi: https://doi.org/10.12669/pjms.39.3.6638 How to cite this: Liu D, Jin T, Li W, Chen L, Xing D. Effect of high-flow nasal cannula on patients’ recovery after inhalation general anesthesia. Pak J Med Sci. 2023;39(3):687-692. doi: https://doi.org/10.12669/pjms.39.3.6638 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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A postoperative comparison of high-flow nasal cannula therapy and conventional oxygen therapy for esophageal cancer patients

Cited by 15 publications

References 32 publications

Comparison of High-flow Nasal Cannula (HFNC) and Conventional Oxygen Therapy in Obese Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-analysis

Comparison of High-flow Nasal Cannula (HFNC) and Conventional Oxygen Therapy in Obese Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-analysis

The effects of regional anesthesia combined with awake delayed extubation in patients undergoing esophageal cancer surgery: a single-blind randomized controlled trial

Effect of high-flow nasal cannula on patients’ recovery after inhalation general anesthesia

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