高流量鼻氧和低流量氧在有意识镇静下支气管镜检查期间提供氧气时同样有效:一项随机对照试验
Georgia Burton1, Paul Kelly1, Brooke Carroll1
1Te Whatu Ora Waitaha Canterbury, Christchurch, New Zealand.
概括
高流量鼻氧 (HFNO) 和低流量氧 (LFO) 在支气管镜检查期间均保持氧化. 在特定的程序中,HFNO提高了临床医生的满意度,并降低了呼吸率.
科学领域:
- 肺部病理学 肺部病理学
- 呼吸系统护理 呼吸系统护理
- 医疗器械 医疗器械
背景情况:
- 在支气管镜检查期间,氧气不和缺氧是常见的.
- 传统的低流氧 (LFO) 可能对一些患者来说不足.
- 高流鼻氧 (HFNO) 是一个潜在的替代方案,但证据有限.
研究的目的:
- 为了比较HFNO与LFO在支气管镜检查和内支气管超声波 (EBUS) 期间维持氧化的疗效.
- 评估二次结果,包括呼吸速率,咳频率和临床医生/患者满意度.
- 在接受这些手术的广泛患者队列中评估HFNO.
主要方法:
- 随机对照试验比较HFNO和LFO在经过支气管透视或EBUS有意识镇静的患者中.
- 主要结果:与氧和度 (SpO2) <90%的时间.
- 通过生理监测,健康记录和患者/临床医生问卷收集的数据.
主要成果:
- 在HFNO和LFO组之间,氧化或脱度没有显著差异.
- 在EBUS手术过程中,HFNO与呼吸率降低有关.
- 在支气管镜检查过程中,临床医生对HFNO的满意度更高.
结论:
- 在支气管镜检查和EBUS期间,HFNO和LFO在维持氧化的有效性相似.
- 在EBUS期间,HFNO可能有助于降低呼吸速率.
- 在支气管镜设置中,HFNO与改善临床医生的满意度有关.
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