Evaluation of the effect of two active warming and humidifying high‑flow oxygen therapy systems in patients with tracheotomy

Abstract

The present study evaluated the effect of two active warming and humidifying high-flow oxygen therapy systems in patients with tracheotomy, in order to provide a basis for selecting the method of humidification oxygen therapy for tracheotomy. A total of 78 patients with tracheotomy, who underwent surgery between July 2017 and December 2017, were randomly divided into an observation group (39 patients) and a control group (39 patients). Patients in the observation group were treated with artificial airway high-flow humidification oxygen therapy in a closed suction system. Patients in the control group were treated using a respiratory humidification therapy device. Changes of sputum viscosity, pulmonary infection, arterial oxygen partial pressure (PaO 2 ), arterial blood carbon dioxide partial pressure (PaCO 2 ) and arterial oxygen saturation (SaO 2 ) were observed at 0, 48 and 96 h, and 7 days following oxygen therapy. The sputum viscosity and lung infection in the observation group were lower than those in the control group at 48, 96 h and 7 days following oxygen therapy, and the PaO 2 and SaO 2 were higher in the observation group than in the control group, which was statistically significant (P<0.05). However, there was no statistically significant difference (P>0.05) in PaCO 2 between the two groups. In conclusion, the artificial airway high-flow humidification oxygen therapy closed suction system was considered more suitable for long-term oxygen therapy of tracheotomy patients than the respiratory humidification therapy device. It can improve airway humidification and oxygen levels at lower equipment and consumable costs. The effects of treatment aim to reduce lung infections, which have clinical implications to a certain extent.

Application Evaluation of High-Flow Humidified Oxygen in Patients with Respiratory Failure after General Anesthesia Extubation for Multiple Injuries

“…Comfortable oxygen therapy methods are beneficial to improve the patients' treatment compliance and enhance the treatment effect. At the same time, high-flow warming and humidifying oxygen therapy have a good tracheal channel humidification effect, and the relative humidity is maintained at about 100%, keeping the upper respiratory tract mucosa from being damaged, and the cilia can move normally, thereby clearing the respiratory tract excrement [ 24 ].…”

Peningkatan Pengetahuan Perawat Tentang Penggunaan Terapi Oksigen Non Humidifier Pada Pasien Dengan Nasal Kanul Di Rsud Dr. Saiful Anwar

“…Penggunaan oksigen tanpa humidifikasi tidak direkomendasikan pada pasien dengan cedera pada pernapasan bagian atas, saluran napas buatan misalnya trakeostomi (Yang et al, 2019). Terapi oksigen dengan tekanan tinggi juga direkomendasikan untuk tetap menggunakan proses humidifikasi untuk menghindari iritasi dan meningkatkan kenyamanan pasien (Gotera et al, 2013).…”

Application Effect Analysis of Three Methods of Heating and Humidification for Weaning Patients in ICU

“…Clinical researchers have also used respiratory humidi cation therapy devices with active humidi ers and heating pipes, venturi mass ow humidi cation oxygen therapy devices to treat patients undergoing tracheotomy. In recent clinical studies, the application of respiratory humidi cation therapy in tracheotomy is limited 7 . Venturi humidi cation oxygen therapy system regulates gas ow oxygen ow and oxygen concentration by regulating gas ow standard Venturi air oxygen mixer.…”