Nasopharyngeal oxygen in adult intensive care: Lower flows and increased comfort
Nasopharyngeal oxygen therapy, the delivery of supplementary oxygen into the nasopharynx via a fine catheter placed through the nose, is a simple technique used in postoperative anaesthetic care units and paediatric intensive care, but never described in the setting of adult intensive care. In a pro...
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| Published in | Anaesthesia and intensive care Vol. 32; no. 5; pp. 670 - 671 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
Edgecliff
Anaesthesia and Intensive Care
01.10.2004
Sage Publications Ltd |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Nasopharyngeal oxygen therapy, the delivery of supplementary oxygen into the nasopharynx via a fine catheter placed through the nose, is a simple technique used in postoperative anaesthetic care units and paediatric intensive care, but never described in the setting of adult intensive care. In a prospective crossover design, we compared nasopharyngeal oxygen therapy with semi-rigid plastic mask (Hudson Mask) in 50 unintubated adult patients receiving supplemental oxygen. We measured oxygen flow rate to achieve cutaneous saturations 93 to 96%, and patient comfort by visual analogue score. Nasopharyngeal oxygen therapy consumed significantly less oxygen than mask administration (3.0+/-0.9 vs 6.7+/-2.1 l/min, P<0.001) and was associated with significantly higher comfort than the mask (7.5+/-1.6 cm vs 5.2+/-1.8, P<0.001). |
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| AbstractList | Nasopharyngeal oxygen therapy, the delivery of supplementary oxygen into the nasopharynx via a fine catheter placed through the nose, is a simple technique used in postoperative anaesthetic care units and paediatric intensive care, but never described in the setting of adult intensive care. In a prospective crossover design, we compared nasopharyngeal oxygen therapy with semi-rigid plastic mask (Hudson Mask) in 50 unintubated adult patients receiving supplemental oxygen. We measured oxygen flow rate to achieve cutaneous saturations 93 to 96%, and patient comfort by visual analogue score. Nasopharyngeal oxygen therapy consumed significantly less oxygen than mask administration (3.0+/-0.9 vs 6.7+/-2.1 l/min, P<0.001) and was associated with significantly higher comfort than the mask (7.5+/-1.6 cm vs 5.2+/-1.8, P<0.001). Nasopharyngeal oxygen therapy, the delivery of supplementary oxygen into the nasopharynx via a fine catheter placed through the nose, is a simple technique used in postoperative anaesthetic care units and paediatric intensive care, but never described in the setting of adult intensive care. In a prospective crossover design, we compared nasopharyngeal oxygen therapy with semi-rigid plastic mask (Hudson Mask) in 50 unintubated adult patients receiving supplemental oxygen. We measured oxygen flow rate to achieve cutaneous saturations 93 to 96%, and patient comfort by visual analogue score. Nasopharyngeal oxygen therapy consumed significantly less oxygen than mask administration (3.0+/-0.9 vs 6.7+/-2.1 l/min, P<0.001) and was associated with significantly higher comfort than the mask (7.5+/-1.6 cm vs 5.2+/-1.8, P<0.001). Nasopharyngeal oxygen therapy, the delivery of supplementary oxygen into the nasopharynx via a fine catheter placed through the nose, is a simple technique used in postoperative anaesthetic care units and paediatric intensive care, but never described in the setting of adult intensive care. In a prospective crossover design, we compared nasopharyngeal oxygen therapy with semi-rigid plastic mask (Hudson Mask) in 50 unintubated adult patients receiving supplemental oxygen. We measured oxygen flow rate to achieve cutaneous saturations 93 to 96%, and patient comfort by visual analogue score. Nasopharyngeal oxygen therapy consumed significantly less oxygen than mask administration (3.0±0.9 vs 6.7±2.1 l/min, P<0.001) and was associated with significantly higher comfort than the mask (7.5± 1.6 cm vs 5.2±1.8, P<0.001). |
| Author | EASTWOOD, G. M REEVES, J. H COWIE, B. S |
| Author_xml | – sequence: 1 givenname: G. M surname: EASTWOOD fullname: EASTWOOD, G. M organization: Epworth Hospital Intensive Care Unit, Richmond, Victoria, United States – sequence: 2 givenname: J. H surname: REEVES fullname: REEVES, J. H organization: Epworth Hospital Intensive Care Unit, Richmond, Victoria, United States – sequence: 3 givenname: B. S surname: COWIE fullname: COWIE, B. S organization: Epworth Hospital Intensive Care Unit, Richmond, Victoria, United States |
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| SubjectTerms | Adult Aged Aged, 80 and over Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Blood Gas Analysis Critical Care Cross-Over Studies Female Humans Intensive Care Units Laryngeal Masks Male Medical sciences Middle Aged Nasopharynx Oxygen Consumption - physiology Oxygen Inhalation Therapy - methods Probability Prospective Studies Sensitivity and Specificity Treatment Outcome |
| Title | Nasopharyngeal oxygen in adult intensive care: Lower flows and increased comfort |
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