Comparison of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange and Facemasks in Preoxygenation: A Systematic Review and Meta-Analysis
Background. Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) has received increasing attention and application as an effective noninvasive mode of ventilation in the treatment of clinical anesthesia and critically ill patients. The conclusions reached in clinical studies of THR...
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| description | Background. Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) has received increasing attention and application as an effective noninvasive mode of ventilation in the treatment of clinical anesthesia and critically ill patients. The conclusions reached in clinical studies of THRIVE and facemask oxygenation are still controversial, and the main objective of this systematic review is to determine the advantages of THRIVE over facemask oxygenation in intensive care units, respiratory medicine, and perioperative preoxygenation. Methods. PubMed, Embase, Web of Science, and Cochrane Library have search restrictions. The search library was full of English language articles from the first publication to 15 July 2021. Eligible randomized controlled study designs were included. 245 records were screened, and 5 studies met the inclusion criteria, enrolling a total of 235 patients. Results. Studying the THRIVE group compared to the facemask group, three studies analyzing intubation time showed that there is no difference in the effect of THRIVE and facemasks (MD -1.22, 95% CI -7.23 to 4.78, and P=0.69>0.05). Three studies analyzing apnea showed that there was no difference between the two groups (SMD 1, 95% CI -0.76 to 2.76, and P=0.27>0.05). Three studies analyzing PaO2 after preoxygenation showed that THRIVE is more effective than facemasks (MD 72.58, 95% CI 31.25 to 113.90, Z=3.44, and P0.05). Two studies analyzing PCO2 after complete paralysis or intubation preoxygenation showed that there was no difference between the two groups (MD 2.76, 95% CI -1.74 to 7.26, and P=0.23>0.05). Conclusions. THRIVE does not have a greater advantage over a facemask in improving apnea time, oxygenation time, PCO2, and SpO2, but it has an advantage in improving arterial partial pressure of oxygen (PaO2) after preoxygenation, which can improve PaO2 well. This trial is registered with the protocol registration number CRD42021268143. |
| doi_str_mv | 10.1155/2022/9858820 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9300319</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A711332092</galeid><sourcerecordid>A711332092</sourcerecordid><originalsourceid>FETCH-LOGICAL-c383t-afe7b9f49444bbfd4cbd44d5d4e2c203149a2e4357308ac6c879a89cf94586cf3</originalsourceid><addsrcrecordid>eNp9kk1v1DAQhiMEolXpjR9giQsSpHVsJ7E5IK1WLa1UBCqFqzXxx65LYi920nb_Br-43g8VwQFfPNI888689hTF6wqfVFVdnxJMyKngNecEPysOCa1Y2VSsev4UU3pQHKd0i_PhVYNF87I4oDVvCW-rw-L3PAwriC4Fj4JFNxF88pCgRxfT4LSzzmh0DSuny0ufJmt7GF1mfxg_uhyHuEZnD2oJfmEQeI3OQZkB0s-EnEdfowkP64Xx26IPaIa-rdOY86NT6NrcOXO_LfpsRihnHvp1culV8cJCn8zx_j4qvp-f3cwvyqsvny7ns6tSUU7HEqxpO2GZYIx1ndVMdZoxXWtmiCI4uxdADKN1SzEH1SjeCuBCWcFq3ihLj4qPO93V1A1Gq-woQi9X0Q0Q1zKAk39nvFvKRbiTguIsL7LA271ADL8mk0Y5uKRM34M3YUqSNHk2gvOjZ_TNP-htmGI2vKVo3QhB2z_UAnojnbch91UbUTlrq_yVBAuSqfc7SsWQUjT2aeQKy81WyM1WyP1WZPzdDl86r-He_Z9-BOOntu0</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2693569937</pqid></control><display><type>article</type><title>Comparison of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange and Facemasks in Preoxygenation: A Systematic Review and Meta-Analysis</title><source>PubMed Central Open Access</source><source>Wiley Online Library Open Access</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Li, Yongkai ; Yang, Jianzhong</creator><contributor>Patini, Romeo ; Romeo Patini</contributor><creatorcontrib>Li, Yongkai ; Yang, Jianzhong ; Patini, Romeo ; Romeo Patini</creatorcontrib><description>Background. Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) has received increasing attention and application as an effective noninvasive mode of ventilation in the treatment of clinical anesthesia and critically ill patients. The conclusions reached in clinical studies of THRIVE and facemask oxygenation are still controversial, and the main objective of this systematic review is to determine the advantages of THRIVE over facemask oxygenation in intensive care units, respiratory medicine, and perioperative preoxygenation. Methods. PubMed, Embase, Web of Science, and Cochrane Library have search restrictions. The search library was full of English language articles from the first publication to 15 July 2021. Eligible randomized controlled study designs were included. 245 records were screened, and 5 studies met the inclusion criteria, enrolling a total of 235 patients. Results. Studying the THRIVE group compared to the facemask group, three studies analyzing intubation time showed that there is no difference in the effect of THRIVE and facemasks (MD -1.22, 95% CI -7.23 to 4.78, and P=0.69>0.05). Three studies analyzing apnea showed that there was no difference between the two groups (SMD 1, 95% CI -0.76 to 2.76, and P=0.27>0.05). Three studies analyzing PaO2 after preoxygenation showed that THRIVE is more effective than facemasks (MD 72.58, 95% CI 31.25 to 113.90, Z=3.44, and P<0.001). Two studies analyzing oxygen saturation SpO2 after successful intubation showed that there was no difference in the effectiveness (MD 0.09, 95% CI -1.03 to 1.22, and P=0.87>0.05). Two studies analyzing PCO2 after complete paralysis or intubation preoxygenation showed that there was no difference between the two groups (MD 2.76, 95% CI -1.74 to 7.26, and P=0.23>0.05). Conclusions. THRIVE does not have a greater advantage over a facemask in improving apnea time, oxygenation time, PCO2, and SpO2, but it has an advantage in improving arterial partial pressure of oxygen (PaO2) after preoxygenation, which can improve PaO2 well. This trial is registered with the protocol registration number CRD42021268143.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2022/9858820</identifier><identifier>PMID: 35872871</identifier><language>eng</language><publisher>New York: Hindawi</publisher><subject>Anesthesia ; Apnea ; Bias ; Biomedical research ; Blood pressure ; Body mass index ; Clinical trials ; Collaboration ; Continuous positive airway pressure ; Dosage and administration ; Evidence-based medicine ; Health aspects ; Hospitals ; Intensive care units ; Intubation ; Libraries ; Mechanical ventilation ; Meta-analysis ; Methods ; Oxygen ; Oxygen content ; Oxygenation ; Paralysis ; Partial pressure ; Patient outcomes ; Patients ; Respiratory agents ; Respiratory therapy ; Review ; Software ; Systematic review ; Ventilators</subject><ispartof>BioMed research international, 2022-07, Vol.2022, p.1-9</ispartof><rights>Copyright © 2022 Yongkai Li and Jianzhong Yang.</rights><rights>COPYRIGHT 2022 John Wiley & Sons, Inc.</rights><rights>Copyright © 2022 Yongkai Li and Jianzhong Yang. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2022 Yongkai Li and Jianzhong Yang. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c383t-afe7b9f49444bbfd4cbd44d5d4e2c203149a2e4357308ac6c879a89cf94586cf3</citedby><cites>FETCH-LOGICAL-c383t-afe7b9f49444bbfd4cbd44d5d4e2c203149a2e4357308ac6c879a89cf94586cf3</cites><orcidid>0000-0002-7308-0123 ; 0000-0002-2881-7632</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9300319/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9300319/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids></links><search><contributor>Patini, Romeo</contributor><contributor>Romeo Patini</contributor><creatorcontrib>Li, Yongkai</creatorcontrib><creatorcontrib>Yang, Jianzhong</creatorcontrib><title>Comparison of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange and Facemasks in Preoxygenation: A Systematic Review and Meta-Analysis</title><title>BioMed research international</title><description>Background. Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) has received increasing attention and application as an effective noninvasive mode of ventilation in the treatment of clinical anesthesia and critically ill patients. The conclusions reached in clinical studies of THRIVE and facemask oxygenation are still controversial, and the main objective of this systematic review is to determine the advantages of THRIVE over facemask oxygenation in intensive care units, respiratory medicine, and perioperative preoxygenation. Methods. PubMed, Embase, Web of Science, and Cochrane Library have search restrictions. The search library was full of English language articles from the first publication to 15 July 2021. Eligible randomized controlled study designs were included. 245 records were screened, and 5 studies met the inclusion criteria, enrolling a total of 235 patients. Results. Studying the THRIVE group compared to the facemask group, three studies analyzing intubation time showed that there is no difference in the effect of THRIVE and facemasks (MD -1.22, 95% CI -7.23 to 4.78, and P=0.69>0.05). Three studies analyzing apnea showed that there was no difference between the two groups (SMD 1, 95% CI -0.76 to 2.76, and P=0.27>0.05). Three studies analyzing PaO2 after preoxygenation showed that THRIVE is more effective than facemasks (MD 72.58, 95% CI 31.25 to 113.90, Z=3.44, and P<0.001). Two studies analyzing oxygen saturation SpO2 after successful intubation showed that there was no difference in the effectiveness (MD 0.09, 95% CI -1.03 to 1.22, and P=0.87>0.05). Two studies analyzing PCO2 after complete paralysis or intubation preoxygenation showed that there was no difference between the two groups (MD 2.76, 95% CI -1.74 to 7.26, and P=0.23>0.05). Conclusions. THRIVE does not have a greater advantage over a facemask in improving apnea time, oxygenation time, PCO2, and SpO2, but it has an advantage in improving arterial partial pressure of oxygen (PaO2) after preoxygenation, which can improve PaO2 well. This trial is registered with the protocol registration number CRD42021268143.</description><subject>Anesthesia</subject><subject>Apnea</subject><subject>Bias</subject><subject>Biomedical research</subject><subject>Blood pressure</subject><subject>Body mass index</subject><subject>Clinical trials</subject><subject>Collaboration</subject><subject>Continuous positive airway pressure</subject><subject>Dosage and administration</subject><subject>Evidence-based medicine</subject><subject>Health aspects</subject><subject>Hospitals</subject><subject>Intensive care units</subject><subject>Intubation</subject><subject>Libraries</subject><subject>Mechanical ventilation</subject><subject>Meta-analysis</subject><subject>Methods</subject><subject>Oxygen</subject><subject>Oxygen content</subject><subject>Oxygenation</subject><subject>Paralysis</subject><subject>Partial pressure</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Respiratory agents</subject><subject>Respiratory therapy</subject><subject>Review</subject><subject>Software</subject><subject>Systematic 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Yongkai</creator><creator>Yang, Jianzhong</creator><general>Hindawi</general><general>John Wiley & Sons, Inc</general><general>Hindawi 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of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange and Facemasks in Preoxygenation: A Systematic Review and Meta-Analysis</title><author>Li, Yongkai ; Yang, Jianzhong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c383t-afe7b9f49444bbfd4cbd44d5d4e2c203149a2e4357308ac6c879a89cf94586cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Anesthesia</topic><topic>Apnea</topic><topic>Bias</topic><topic>Biomedical research</topic><topic>Blood pressure</topic><topic>Body mass index</topic><topic>Clinical trials</topic><topic>Collaboration</topic><topic>Continuous positive airway pressure</topic><topic>Dosage and administration</topic><topic>Evidence-based medicine</topic><topic>Health aspects</topic><topic>Hospitals</topic><topic>Intensive care units</topic><topic>Intubation</topic><topic>Libraries</topic><topic>Mechanical ventilation</topic><topic>Meta-analysis</topic><topic>Methods</topic><topic>Oxygen</topic><topic>Oxygen content</topic><topic>Oxygenation</topic><topic>Paralysis</topic><topic>Partial pressure</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Respiratory agents</topic><topic>Respiratory therapy</topic><topic>Review</topic><topic>Software</topic><topic>Systematic review</topic><topic>Ventilators</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Yongkai</creatorcontrib><creatorcontrib>Yang, Jianzhong</creatorcontrib><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access Journals</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Industrial and 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Patini</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange and Facemasks in Preoxygenation: A Systematic Review and Meta-Analysis</atitle><jtitle>BioMed research international</jtitle><date>2022-07-13</date><risdate>2022</risdate><volume>2022</volume><spage>1</spage><epage>9</epage><pages>1-9</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>Background. Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) has received increasing attention and application as an effective noninvasive mode of ventilation in the treatment of clinical anesthesia and critically ill patients. The conclusions reached in clinical studies of THRIVE and facemask oxygenation are still controversial, and the main objective of this systematic review is to determine the advantages of THRIVE over facemask oxygenation in intensive care units, respiratory medicine, and perioperative preoxygenation. Methods. PubMed, Embase, Web of Science, and Cochrane Library have search restrictions. The search library was full of English language articles from the first publication to 15 July 2021. Eligible randomized controlled study designs were included. 245 records were screened, and 5 studies met the inclusion criteria, enrolling a total of 235 patients. Results. Studying the THRIVE group compared to the facemask group, three studies analyzing intubation time showed that there is no difference in the effect of THRIVE and facemasks (MD -1.22, 95% CI -7.23 to 4.78, and P=0.69>0.05). Three studies analyzing apnea showed that there was no difference between the two groups (SMD 1, 95% CI -0.76 to 2.76, and P=0.27>0.05). Three studies analyzing PaO2 after preoxygenation showed that THRIVE is more effective than facemasks (MD 72.58, 95% CI 31.25 to 113.90, Z=3.44, and P<0.001). Two studies analyzing oxygen saturation SpO2 after successful intubation showed that there was no difference in the effectiveness (MD 0.09, 95% CI -1.03 to 1.22, and P=0.87>0.05). Two studies analyzing PCO2 after complete paralysis or intubation preoxygenation showed that there was no difference between the two groups (MD 2.76, 95% CI -1.74 to 7.26, and P=0.23>0.05). Conclusions. THRIVE does not have a greater advantage over a facemask in improving apnea time, oxygenation time, PCO2, and SpO2, but it has an advantage in improving arterial partial pressure of oxygen (PaO2) after preoxygenation, which can improve PaO2 well. This trial is registered with the protocol registration number CRD42021268143.</abstract><cop>New York</cop><pub>Hindawi</pub><pmid>35872871</pmid><doi>10.1155/2022/9858820</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-7308-0123</orcidid><orcidid>https://orcid.org/0000-0002-2881-7632</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Anesthesia Apnea Bias Biomedical research Blood pressure Body mass index Clinical trials Collaboration Continuous positive airway pressure Dosage and administration Evidence-based medicine Health aspects Hospitals Intensive care units Intubation Libraries Mechanical ventilation Meta-analysis Methods Oxygen Oxygen content Oxygenation Paralysis Partial pressure Patient outcomes Patients Respiratory agents Respiratory therapy Review Software Systematic review Ventilators |
| title | Comparison of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange and Facemasks in Preoxygenation: A Systematic Review and Meta-Analysis |
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