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High-Flow vs. Low-Flow Nasal Cannula in Reducing Hypoxemic Events During Bronchoscopic Procedures: A Systematic Review and Meta-Analysis.
Sampsonas, Fotios; Karamouzos, Vasileios; Karampitsakos, Theodoros; Papaioannou, Ourania; Katsaras, Matthaios; Lagadinou, Maria; Zarkadi, Eirini; Malakounidou, Elli; Velissaris, Dimitrios; Stratakos, Grigorios; Tzouvelekis, Argyrios.
Affiliation
  • Sampsonas F; Respiratory Medicine Department, University Hospital of Patras, Patras, Greece.
  • Karamouzos V; Intensive Care Unit, University Hospital of Patras, Patras, Greece.
  • Karampitsakos T; Respiratory Medicine Department, University Hospital of Patras, Patras, Greece.
  • Papaioannou O; Respiratory Medicine Department, University Hospital of Patras, Patras, Greece.
  • Katsaras M; Respiratory Medicine Department, University Hospital of Patras, Patras, Greece.
  • Lagadinou M; Internal Medicine Department, University Hospital of Patras, Patras, Greece.
  • Zarkadi E; Respiratory Medicine Department, University Hospital of Patras, Patras, Greece.
  • Malakounidou E; Respiratory Medicine Department, University Hospital of Patras, Patras, Greece.
  • Velissaris D; Internal Medicine Department, University Hospital of Patras, Patras, Greece.
  • Stratakos G; Interventional Pulmonology Unit, First Respiratory Medicine Department of the National Kapodistrian University of Athens, Athens, Greece.
  • Tzouvelekis A; Respiratory Medicine Department, University Hospital of Patras, Patras, Greece.
Front Med (Lausanne) ; 9: 815799, 2022.
Article in En | MEDLINE | ID: mdl-35280891
ABSTRACT

Introduction:

High-flow nasal cannula (HFNC) oxygenation method has been proven to be successful in oxygenation of patients with respiratory failure and has exhibited clinical superiority compared to low-flow nasal cannula (LFNC).

Methods:

We performed a systematic review and meta-analysis to evaluate the potential favorable impact of HFNC oxygenation during bronchoscopy and related procedures like endobronchial ultrasound-transbronchial needle aspiration. Only randomized control trials (RCTs) were included in the meta-analysis.

Results:

Six randomized control trials with 1,170 patients were included in this meta-analysis. Patients who underwent bronchoscopy with the use of high-flow nasal cannula experienced less hypoxemic events/desaturations, less procedural interruptions and pneumothoraxes compared to patients under low-flow nasal cannula treatment. This beneficial effect of HFNC in hypoxemic events was persistent 10 min after the end of procedure.

Conclusion:

The high-flow nasal cannula (HFNC) oxygenation method could reduce hypoxemic events and related peri- and post-bronchoscopic complications.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Clinical_trials / Systematic_reviews Language: En Journal: Front Med (Lausanne) Year: 2022 Document type: Article Affiliation country: Greece
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Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Clinical_trials / Systematic_reviews Language: En Journal: Front Med (Lausanne) Year: 2022 Document type: Article Affiliation country: Greece