The clinical advantage of nasal high-flow in respiratory management during procedural sedation: A scoping review on the application of nasal high-flow during dental procedures with sedation.

Autor:	Kurata S; Division of Clinical Physiology, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan., Sanuki T; Department of Dental Anesthesiology, Kanagawa Dental University, Kanagawa, Japan., Higuchi H; Department of Dental Anesthesiology, Okayama University, Okayama, Japan., Miyawaki T; Department of Dental Anesthesiology, Okayama University, Okayama, Japan., Watanabe S; Division of Dental Anesthesiology, Department of Science of Physical Functions, Kyushu Dental University, Fukuoka, Japan., Maeda S; Department of Dental Anesthesiology, Tokyo Medical and Dental University, Tokyo, Japan., Sato S; Clinical Research Center, Nagasaki University Hospital, Nagasaki, Japan., Pinkham M; Fisher & Paykel Healthcare Ltd, Auckland, New Zealand., Tatkov S; Fisher & Paykel Healthcare Ltd, Auckland, New Zealand., Ayuse T; Division of Clinical Physiology, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Jazyk:	angličtina
Zdroj:	The Japanese dental science review [Jpn Dent Sci Rev] 2022 Nov; Vol. 58, pp. 179-182. Date of Electronic Publication: 2022 Jun 04.
DOI:	10.1016/j.jdsr.2022.05.003
Abstrakt:	Structured Summary: Rationale: Nasal high-flow (NHF), a new method for respiratory management during procedural sedation, has greater advantages than conventional nasal therapy with oxygen. However, its clinical relevance for patients undergoing oral maxillofacial surgery and/or dental treatment remains uncertain and controversial, due to a paucity of studies. This scoping review compared and evaluated NHF and conventional nasal therapy with oxygen in patients undergoing oral maxillofacial surgery and/or dental treatment. Materials and Methods: A literature search of two public electronic databases was conducted, and English writing randomized controlled trials (RCTs) of nasal high flow during dental procedure with sedation reviewed. The primary and secondary outcomes of interest were the incidence of hypoxemia and hypercapnia during sedation and the need for intervention to relieve upper airway obstruction, respectively. Results: The search strategy yielded 7 studies, of which three RCTs met our eligibility criteria, with a total of 78 patients. Compared with conventional nasal therapy with oxygen, NHF significantly reduced the incidence of hypoxemia and hypercapnia during procedural sedation. Conclusion: NHF can maintain oxygenation and possibly prevent hypercapnia in patients undergoing dental treatment. Additional RCTs are needed to clarify and confirm these findings. Competing Interests: There are no conflicts of interest to declare for all authors. (© 2022Published by Elsevier Ltd on behalf of The Japanese Association for Dental Science. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/.)
Databáze:	MEDLINE
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