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Randomized Controlled Trial
. 2017:2017:7894631.
doi: 10.1155/2017/7894631. Epub 2017 Feb 19.

Effect of High-Flow Nasal Cannula versus Conventional Oxygen Therapy for Patients with Thoracoscopic Lobectomy after Extubation

Yuetian Yu  1 , Xiaozhe Qian  2 , Chunyan Liu  3 , Cheng Zhu  4
Affiliations
Randomized Controlled Trial

Effect of High-Flow Nasal Cannula versus Conventional Oxygen Therapy for Patients with Thoracoscopic Lobectomy after Extubation

Yuetian Yu et al. Can Respir J. 2017.

Abstract

Objective. To investigate whether high-flow nasal cannula (HFNC) oxygen therapy is superior to conventional oxygen therapy for reducing hypoxemia and postoperative pulmonary complications (PPC) in patients with thoracoscopic lobectomy after extubation. Methods. Patients with intermediate to high risk for PPC were enrolled in this study. Subjects were randomly assigned to HFNC group (HFNCG) or conventional oxygen group (COG) following extubation. Arterial blood samples were collected after extubation at 1, 2, 6, 12, 24, 48, and 72 h. Patients with postoperative hypoxemia and PPC were recorded. Adverse events were also documented. Results. Totally 110 patients were randomly assigned to HFNCG (n = 56) and COG (n = 54). The occurrence rate of hypoxemia in COG was twice more than that in HFNCG (29.62% versus 12.51%, P < 0.05) and PaO2, PaO2/FiO2, and SaO2/FiO2 were significantly improved in HFNCG (P < 0.05) in the first 72 h following extubation. Respiratory rate and incidence of reintubation as well as needing noninvasive ventilation were also decreased in HFNCG (P < 0.05), whereas the incidence of pneumonia and atelectasis were similar (P > 0.05). Adverse effects as throat and nasal pain occurred more frequently in COG. Conclusions. HFNC application improves oxygenation and reduces the risk of reintubation following thoracoscopic lobectomy but cannot decrease the incidence of PPC.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1
Flow chart of the study.
Figure 2
Figure 2
Comparison of variables between two groups in different time points. (a) Arterial PaO2 values; (b) arterial PaCO2 values; (c) the PaO2/fractional inspired oxygen (FiO2) ratio; (d) oxygen saturation/FiO2 ratio; (e) lactate values; (f) respiratory rate. ∗P < 0.05.
See this image and copyright information in PMC

References

    1. Tu C.-C., Hsu P.-K. Global development and current evidence of uniportal thoracoscopic surgery. Journal of Thoracic Disease. 2016;8:S308–S318. doi: 10.3978/j.issn.2072-1439.2016.02.53. - DOI - PMC - PubMed
    1. Licker M., De Perrot M., Spiliopoulos A., et al. Risk factors for acute lung injury after thoracic surgery for lung cancer. Anesthesia and Analgesia. 2003;97(6):1558–1565. doi: 10.1213/01.ane.0000087799.85495.8a. - DOI - PubMed
    1. Papazian L., Corley A., Hess D., et al. Use of high-flow nasal cannula oxygenation in ICU adults: a narrative review. Intensive Care Medicine. 2016;42(9):1336–1349. doi: 10.1007/s00134-016-4277-8. - DOI - PubMed
    1. Nishimura M. High-flow nasal cannula oxygen therapy in adults: physiological benefits, indication, clinical benefits, and adverse effects. Respiratory Care. 2016;61(4):529–541. doi: 10.4187/respcare.04577. - DOI - PubMed
    1. Mazo V., Sabaté S., Canet J., et al. Prospective external validation of a predictive score for postoperative pulmonary complications. Anesthesiology. 2014;121(2):219–231. doi: 10.1097/ALN.0000000000000334. - DOI - PubMed

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