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High-flow nasal cannula oxygen therapy during anesthesia recovery for older orthopedic surgery patients: A prospective randomized controlled trial

引用

World Journal of Clinical Cases 2022年第24期10卷 8615-8624页

作者： Xiao-Na Li Cheng-Cheng Zhou Zi-Qiang Lin Bin Jia Xiang-Yu Li Gao-Feng Zhao Fei Ye Second Clinical Medical College Guangzhou University of Chinese MedicineGuangzhou 510000Guangdong ProvinceChina Department of Anaesthesiology Guangdong Provincial Hospital of Chinese Medicine(The Second Affiliated Hospital of Guangzhou University of Chinese Medicine)Guangzhou 510000Guangdong ProvinceChina

BACKGROUND Hypoxemia is a common complication in older patients during postoperative recovery and can cause pulmonary ***,reducing the incidence of postoperative hypoxemia is a clinical *** To investigate the clinical efficacy of high-flow nasal cannula oxygen(HFNCO)in the resuscitation period of older orthopedic *** In this prospective randomized controlled trial,60 older patients who underwent orthopedic surgery under general anesthesia were randomly divided into two groups:those who used conventional face mask and those who used *** patients were treated with 60%oxygen for 1 h after *** in the conventional face mask group were treated with a combination of air(2 L)and oxygen(2 L)using a traditional mask,whereas those in the HFNCO group were treated with HFNCO at a constant temperature of 34℃ and flow rate of 40 L/*** assessed the effectiveness of oxygen therapy by monitoring the patients’arterial blood gas,peripheral oxygen saturation,and postoperative *** The characteristics of the patients were comparable between the *** hour after extubation,patients in HFNCO group had a significantly higher arterial partial pressure of oxygen(paO_(2))than that of patients in conventional face mask group(Panesthesia and before extubation(P>0.05).There were statistically significant differences in paO_(2) between the two groups before anesthesia and 1 h after extubation and immediately after extubation and 1 h after extubation(P<0.001).However,there were no significant differences in the oxygen tolerance score before leaving the room,airway humidification,and pulmonary complications 3 d after s

关键词： anesthesia recovery High flow nasal cannula oxygen Hypoxemia Older patients Orthopedic surgery Pulmonary complications

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