Obstetric anesthesia

Pre-oxygenation using high flow humidified nasal oxygen or face mask oxygen in pregnant people – a prospective randomised controlled crossover non-inferiority study (The HINOP2 study)

Int J Obstet AnesthPublished Randomised controlled trial

An erratum to this article was published (Int J Obstet Anesth, May 2025 ↗)

Primary result · First etO2Result — go to the resultMean difference 1.45 % 95% CI 0.19–2.72

Authors' conclusion

In this cohort of pregnant people at term in a simulated environment, pre-oxygenation with HFNO was not inferior to FM pre-oxygenation.

Study context

Population
Healthy pregnant people at gestational age ≥37 weeks62 analysed
Participants
70 people
Comparison
High flow nasal oxygen (HFNO) vs face mask (FM) pre-oxygenation for 3 min
Primary endpoint
etO2 on first expired breath after pre-oxygenation
Methodological detailscrossover, non-inferiority, simulated environment
  • Crossover
  • Non-inferiority
  • Simulated environment

Primary result

First etO2

Mean difference

1.45 %

95% CI 0.19–2.72

P = 0.025

By group

HFNO vs FM
mean difference 1.45 % (95% CI 0.19–2.72); P = 0.025

Non-inferiority margin 5 as printed, not drawn

As reported in the abstract

Further findings

First etO2 ≥90% achieved

P = 0.002

Original publication

Pre-oxygenation using high flow humidified nasal oxygen or face mask oxygen in pregnant people – a prospective randomised controlled crossover non-inferiority study (The HINOP2 study). Int J Obstet Anesth. Published 23 July 2024. doi:10.1016/j.ijoa.2024.104236

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