Respiratory failure & ventilation

The effect of high‐flow nasal oxygen flow rate on gas exchange in apnoeic patients: a randomised controlled trial

AnaesthesiaPublished Randomised controlled trial

Authors' conclusion

In conclusion, the rate of carbon dioxide accumulation in arterial blood did not differ significantly between apnoeic patients who received high-flow nasal oxygen and those who did not.

Study context

Population
Apnoeic patients at induction of anaesthesia, pre-oxygenated with HFNO at 50 l.min-1
Participants
114 patients
Comparison
HFNO at 70 or 120 l.min-1 vs 0 l.min-1 during apnoea

Primary result

As reported in the abstract

PaCO2 rise, first minute of apnoea · first minute of apnoea

P = 0.16

Further findings

Rate of PaCO2 rise, minutes 2–4 of apnoea · second, third and fourth minutes of apnoea — 70 l.min-1, 120 l.min-1 vs 0 l.min-1 · across 3 groups

P = 0.17

PaO2 after 4 minutes of apnoea — 70 l.min-1, 120 l.min-1 vs 0 l.min-1 · across 3 groups

P < 0.001

Time to desaturate to 92% after onset of apnoea — 70 l.min-1, 120 l.min-1 vs 0 l.min-1 · across 3 groups

P < 0.001

Original publication

The effect of high‐flow nasal oxygen flow rate on gas exchange in apnoeic patients: a randomised controlled trial. Anaesthesia. Published 15 December 2023. doi:10.1111/anae.16200

Composed by AI from the published abstract and checked against it. How Briefs are made →

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