Comparison of high‐flow and conventional nasal cannula oxygen in patients undergoing endobronchial ultrasonography
Background Oxygen therapy is required to prevent hypoxaemia during the endobronchial ultrasonography (EBUS) procedure. Aims To compare the effectiveness of oxygen therapy delivered through high‐flow nasal cannula (HFNC) and conventional nasal cannula (CNC) in patients undergoing EBUS. The primary ou...
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| Veröffentlicht in: | Internal medicine journal 2021-11, Vol.51 (11), p.1935-1939 |
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| container_issue | 11 |
| container_start_page | 1935 |
| container_title | Internal medicine journal |
| container_volume | 51 |
| creator | Yilmazel Ucar, Elif Araz, Ömer Kerget, Bugra Akgun, Metin Saglam, Leyla |
| description | Background
Oxygen therapy is required to prevent hypoxaemia during the endobronchial ultrasonography (EBUS) procedure.
Aims
To compare the effectiveness of oxygen therapy delivered through high‐flow nasal cannula (HFNC) and conventional nasal cannula (CNC) in patients undergoing EBUS. The primary outcome was the proportion of patients who desaturated. Patient compliance and satisfaction were also evaluated.
Methods
This single‐centre prospective interventional study was conducted in a tertiary hospital among patients who presented to the EBUS unit in 2018 and 2019. Patients were randomly assigned to the HFNC group or the CNC group.
Results
The study included 170 patients (111 men and 59 women) with a mean age of 58 ± 14 years. The number of patients experiencing desaturation while receiving oxygen was statistically significantly lower (P |
| doi_str_mv | 10.1111/imj.15001 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_webof</sourceid><recordid>TN_cdi_webofscience_primary_000710111200001CitationCount</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2430093790</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3301-97359e73956f4f109a22b20232687d0e8c5b9d757fae1368cecaaf176737941e3</originalsourceid><addsrcrecordid>eNqNkc1u1DAUhS1ERUthwRtYYgNCaa9_Mo6XKOKnqFU3sI48jp3xKGMHO2mZHY_AM_Ik3HYqFpWQ8MK-kr9zfXwPIa8YnDFc52G3PWM1AHtCTpiUdVVrLZ_e17ICDeKYPC9li4ASWj4jx4IrvOLyhMxt2k0mh5IiTZ5uwrD5_fOXH9MtNbGnNsUbF-eQohlpNAV3a2JcRkPTj_3gIg2RTmYOCBW6xN7lIYU4UBf7tM4p2k1AzTLO2eATachm2uxfkCNvxuJePpyn5NvHD1_bz9Xl9aeL9v1lZYUAVmklau3Qcr3y0jPQhvM1By74qlE9uMbWa92rWnnjmFg11lljPFMrJZSWzIlT8ubQd8rp--LK3O1CsW4cTXRpKR2XAkAjDIi-foRu05Lx10jVusF-XGuk3h4om1Mp2fluymFn8r5j0N1F0WEU3X0UyDYH9tatky8WR2TdXx4AFANUcKyAtWE2d1Nu0xJnlL77fynS5w90GN3-3466i6svB2t_AECSq08</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2598794299</pqid></control><display><type>article</type><title>Comparison of high‐flow and conventional nasal cannula oxygen in patients undergoing endobronchial ultrasonography</title><source>Access via Wiley Online Library</source><source>Web of Science - Science Citation Index Expanded - 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /></source><creator>Yilmazel Ucar, Elif ; Araz, Ömer ; Kerget, Bugra ; Akgun, Metin ; Saglam, Leyla</creator><creatorcontrib>Yilmazel Ucar, Elif ; Araz, Ömer ; Kerget, Bugra ; Akgun, Metin ; Saglam, Leyla</creatorcontrib><description>Background
Oxygen therapy is required to prevent hypoxaemia during the endobronchial ultrasonography (EBUS) procedure.
Aims
To compare the effectiveness of oxygen therapy delivered through high‐flow nasal cannula (HFNC) and conventional nasal cannula (CNC) in patients undergoing EBUS. The primary outcome was the proportion of patients who desaturated. Patient compliance and satisfaction were also evaluated.
Methods
This single‐centre prospective interventional study was conducted in a tertiary hospital among patients who presented to the EBUS unit in 2018 and 2019. Patients were randomly assigned to the HFNC group or the CNC group.
Results
The study included 170 patients (111 men and 59 women) with a mean age of 58 ± 14 years. The number of patients experiencing desaturation while receiving oxygen was statistically significantly lower (P < 0.001) in the HFNC group (n = 5) compared with the CNC group (n = 26). Oxygen therapy was adjusted in two patients in the CNC group due to desaturation. Saturation was significantly higher in the HFNC group (P < 0.0001) at the end of the EBUS procedure. Heart rate at the end of EBUS was lower in the HFNC group, but this difference was not statistically significant (96 ± 16 vs 101 ± 19, P = 0.13). Five patients in the HFNC group and 18 patients in the CNC group reported discomfort during the procedure (P = 0.006).
Conclusion
Oxygen therapy delivered by HFNC seems to be safer and more effective than by CNC in patients undergoing EBUS. Oxygen therapy with HFNC may be considered as an alternative to CNC because it may increase patient comfort and thereby improve compliance.</description><identifier>ISSN: 1444-0903</identifier><identifier>EISSN: 1445-5994</identifier><identifier>DOI: 10.1111/imj.15001</identifier><identifier>PMID: 32744424</identifier><language>eng</language><publisher>Melbourne: John Wiley & Sons Australia, Ltd</publisher><subject>EBUS ; General & Internal Medicine ; Heart rate ; high flow ; Life Sciences & Biomedicine ; Medicine, General & Internal ; nasal cannula ; Oxygen ; Oxygen therapy ; Patients ; Science & Technology ; Statistical analysis ; Ultrasonic imaging</subject><ispartof>Internal medicine journal, 2021-11, Vol.51 (11), p.1935-1939</ispartof><rights>2020 Royal Australasian College of Physicians</rights><rights>2021 Royal Australasian College of Physicians</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>12</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000710111200001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c3301-97359e73956f4f109a22b20232687d0e8c5b9d757fae1368cecaaf176737941e3</citedby><cites>FETCH-LOGICAL-c3301-97359e73956f4f109a22b20232687d0e8c5b9d757fae1368cecaaf176737941e3</cites><orcidid>0000-0001-8284-1038 ; 0000-0002-3476-4506 ; 0000-0002-6048-1462</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fimj.15001$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fimj.15001$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,782,786,1419,27931,27932,39265,45581,45582</link.rule.ids></links><search><creatorcontrib>Yilmazel Ucar, Elif</creatorcontrib><creatorcontrib>Araz, Ömer</creatorcontrib><creatorcontrib>Kerget, Bugra</creatorcontrib><creatorcontrib>Akgun, Metin</creatorcontrib><creatorcontrib>Saglam, Leyla</creatorcontrib><title>Comparison of high‐flow and conventional nasal cannula oxygen in patients undergoing endobronchial ultrasonography</title><title>Internal medicine journal</title><addtitle>INTERN MED J</addtitle><description>Background
Oxygen therapy is required to prevent hypoxaemia during the endobronchial ultrasonography (EBUS) procedure.
Aims
To compare the effectiveness of oxygen therapy delivered through high‐flow nasal cannula (HFNC) and conventional nasal cannula (CNC) in patients undergoing EBUS. The primary outcome was the proportion of patients who desaturated. Patient compliance and satisfaction were also evaluated.
Methods
This single‐centre prospective interventional study was conducted in a tertiary hospital among patients who presented to the EBUS unit in 2018 and 2019. Patients were randomly assigned to the HFNC group or the CNC group.
Results
The study included 170 patients (111 men and 59 women) with a mean age of 58 ± 14 years. The number of patients experiencing desaturation while receiving oxygen was statistically significantly lower (P < 0.001) in the HFNC group (n = 5) compared with the CNC group (n = 26). Oxygen therapy was adjusted in two patients in the CNC group due to desaturation. Saturation was significantly higher in the HFNC group (P < 0.0001) at the end of the EBUS procedure. Heart rate at the end of EBUS was lower in the HFNC group, but this difference was not statistically significant (96 ± 16 vs 101 ± 19, P = 0.13). Five patients in the HFNC group and 18 patients in the CNC group reported discomfort during the procedure (P = 0.006).
Conclusion
Oxygen therapy delivered by HFNC seems to be safer and more effective than by CNC in patients undergoing EBUS. Oxygen therapy with HFNC may be considered as an alternative to CNC because it may increase patient comfort and thereby improve compliance.</description><subject>EBUS</subject><subject>General & Internal Medicine</subject><subject>Heart rate</subject><subject>high flow</subject><subject>Life Sciences & Biomedicine</subject><subject>Medicine, General & Internal</subject><subject>nasal cannula</subject><subject>Oxygen</subject><subject>Oxygen therapy</subject><subject>Patients</subject><subject>Science & Technology</subject><subject>Statistical analysis</subject><subject>Ultrasonic imaging</subject><issn>1444-0903</issn><issn>1445-5994</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><recordid>eNqNkc1u1DAUhS1ERUthwRtYYgNCaa9_Mo6XKOKnqFU3sI48jp3xKGMHO2mZHY_AM_Ik3HYqFpWQ8MK-kr9zfXwPIa8YnDFc52G3PWM1AHtCTpiUdVVrLZ_e17ICDeKYPC9li4ASWj4jx4IrvOLyhMxt2k0mh5IiTZ5uwrD5_fOXH9MtNbGnNsUbF-eQohlpNAV3a2JcRkPTj_3gIg2RTmYOCBW6xN7lIYU4UBf7tM4p2k1AzTLO2eATachm2uxfkCNvxuJePpyn5NvHD1_bz9Xl9aeL9v1lZYUAVmklau3Qcr3y0jPQhvM1By74qlE9uMbWa92rWnnjmFg11lljPFMrJZSWzIlT8ubQd8rp--LK3O1CsW4cTXRpKR2XAkAjDIi-foRu05Lx10jVusF-XGuk3h4om1Mp2fluymFn8r5j0N1F0WEU3X0UyDYH9tatky8WR2TdXx4AFANUcKyAtWE2d1Nu0xJnlL77fynS5w90GN3-3466i6svB2t_AECSq08</recordid><startdate>202111</startdate><enddate>202111</enddate><creator>Yilmazel Ucar, Elif</creator><creator>Araz, Ömer</creator><creator>Kerget, Bugra</creator><creator>Akgun, Metin</creator><creator>Saglam, Leyla</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley</general><general>Wiley Subscription Services, Inc</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8284-1038</orcidid><orcidid>https://orcid.org/0000-0002-3476-4506</orcidid><orcidid>https://orcid.org/0000-0002-6048-1462</orcidid></search><sort><creationdate>202111</creationdate><title>Comparison of high‐flow and conventional nasal cannula oxygen in patients undergoing endobronchial ultrasonography</title><author>Yilmazel Ucar, Elif ; Araz, Ömer ; Kerget, Bugra ; Akgun, Metin ; Saglam, Leyla</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3301-97359e73956f4f109a22b20232687d0e8c5b9d757fae1368cecaaf176737941e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>EBUS</topic><topic>General & Internal Medicine</topic><topic>Heart rate</topic><topic>high flow</topic><topic>Life Sciences & Biomedicine</topic><topic>Medicine, General & Internal</topic><topic>nasal cannula</topic><topic>Oxygen</topic><topic>Oxygen therapy</topic><topic>Patients</topic><topic>Science & Technology</topic><topic>Statistical analysis</topic><topic>Ultrasonic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yilmazel Ucar, Elif</creatorcontrib><creatorcontrib>Araz, Ömer</creatorcontrib><creatorcontrib>Kerget, Bugra</creatorcontrib><creatorcontrib>Akgun, Metin</creatorcontrib><creatorcontrib>Saglam, Leyla</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Internal medicine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yilmazel Ucar, Elif</au><au>Araz, Ömer</au><au>Kerget, Bugra</au><au>Akgun, Metin</au><au>Saglam, Leyla</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of high‐flow and conventional nasal cannula oxygen in patients undergoing endobronchial ultrasonography</atitle><jtitle>Internal medicine journal</jtitle><stitle>INTERN MED J</stitle><date>2021-11</date><risdate>2021</risdate><volume>51</volume><issue>11</issue><spage>1935</spage><epage>1939</epage><pages>1935-1939</pages><issn>1444-0903</issn><eissn>1445-5994</eissn><abstract>Background
Oxygen therapy is required to prevent hypoxaemia during the endobronchial ultrasonography (EBUS) procedure.
Aims
To compare the effectiveness of oxygen therapy delivered through high‐flow nasal cannula (HFNC) and conventional nasal cannula (CNC) in patients undergoing EBUS. The primary outcome was the proportion of patients who desaturated. Patient compliance and satisfaction were also evaluated.
Methods
This single‐centre prospective interventional study was conducted in a tertiary hospital among patients who presented to the EBUS unit in 2018 and 2019. Patients were randomly assigned to the HFNC group or the CNC group.
Results
The study included 170 patients (111 men and 59 women) with a mean age of 58 ± 14 years. The number of patients experiencing desaturation while receiving oxygen was statistically significantly lower (P < 0.001) in the HFNC group (n = 5) compared with the CNC group (n = 26). Oxygen therapy was adjusted in two patients in the CNC group due to desaturation. Saturation was significantly higher in the HFNC group (P < 0.0001) at the end of the EBUS procedure. Heart rate at the end of EBUS was lower in the HFNC group, but this difference was not statistically significant (96 ± 16 vs 101 ± 19, P = 0.13). Five patients in the HFNC group and 18 patients in the CNC group reported discomfort during the procedure (P = 0.006).
Conclusion
Oxygen therapy delivered by HFNC seems to be safer and more effective than by CNC in patients undergoing EBUS. Oxygen therapy with HFNC may be considered as an alternative to CNC because it may increase patient comfort and thereby improve compliance.</abstract><cop>Melbourne</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>32744424</pmid><doi>10.1111/imj.15001</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-8284-1038</orcidid><orcidid>https://orcid.org/0000-0002-3476-4506</orcidid><orcidid>https://orcid.org/0000-0002-6048-1462</orcidid></addata></record> |
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| subjects | EBUS General & Internal Medicine Heart rate high flow Life Sciences & Biomedicine Medicine, General & Internal nasal cannula Oxygen Oxygen therapy Patients Science & Technology Statistical analysis Ultrasonic imaging |
| title | Comparison of high‐flow and conventional nasal cannula oxygen in patients undergoing endobronchial ultrasonography |
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