Oxygénation nasale à haut débit pour hypoxémie après chirurgie cardiaque
| Autor: | J.-C. Rigal, J. Nicolet, F. Poulard, D. Baneton, Y. Blanloeil |
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| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
education.field_of_study business.industry Population General Medicine Oxygenation Cardiac surgery Hypoxemia Clinical trial Anesthesiology and Pain Medicine Patient satisfaction Anesthesia medicine Nasal administration medicine.symptom Prospective cohort study education business |
| Zdroj: | Annales Françaises d'Anesthésie et de Réanimation. 30:331-334 |
| ISSN: | 0750-7658 |
| Popis: | Objectives High-flow nasal oxygen (Optiflow™) is validated in paediatric intensive care but not in adults' patients for severe hypoxemia. The aim of this study was to evaluate this oxygen system delivery in adults' patients for postoperative hypoxemia after cardiac surgery. Study design Prospective, open study for evaluation of medical practice. Patients and methods Patients operated upon for cardiac surgery with immediate postoperative hypoxemia characterized by SpO(2) Results Forty patients were included, 19 in group O, 21 in group M. Patient's characteristics did not differ between the two groups before treatment. There were no significant differences between groups for duration of hypoxemia (3.8±2.2 days in O group versus 4.3±2.3 days in M group), duration of hypoxemia, duration of ICU stay, postoperative pneumonia occurrence, requirement of re-intubation, non invasive ventilation and catecholamine. Pain was not significantly different between groups, satisfaction was better (P Conclusion These results give good arguments for an improvement in gas exchange and better tolerance of high-flow nasal oxygen (Optiflow™) versus classical high-flow oxygen face mask in postoperative cardiac patients. These results must be confirmed by a randomised study with a larger population. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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