Liu Dong, Jin Teng-Yu, Li Wei, Chen Li, Xing Dong
Dong Liu, Department of Anesthesiology, Baoding No.1 Hospital, Baoding 071000, Hebei, China.
Teng-yu Jin, Department of Clinical Medicine, School of Basic Medicine, Hebei Medical University, Shijiazhuang 050017, Hebei, P.R.China.
Pak J Med Sci. 2023 May-Jun;39(3):687-692. doi: 10.12669/pjms.39.3.6638.
To investigate the effect of high-flow nasal cannula (HFNC) and Oxygen Nebuliser mask (ONM) on patients recovering from inhalation anesthesia.
A retrospective analysis was performed on 128 patients after inhalation of general anesthesia in the recovery room of the Anesthesiology Department of The Fourth Hospital of Hebei Medical University from September 2019 to September 2021. All patients received the same anesthesia induction and analgesia methods, inhalation anesthesia or intravenous-inhalation anesthesia maintenance, recovered spontaneous breathing and removed endotracheal intubation after surgery, then were divided into HFNC group and ONM group for oxygen therapy. HFNC setting mode: flow rate: 20-60 L/minutes, humidification temperature: 37°C, the oxygen concentration was adjusted to maintain finger pulse oxygen saturation SPO>90%; ONM group, the oxygen flow rate was adjusted to maintain finger pulse oxygen saturation SPO>90%. All patients in the two groups were compared immediately after they entered the recovery room for 0 minutes,, 10 minutes, and 20 minutes,, including tidal volume, blood gas, Richmond Agitation-Sedation Scale (RASS) score and time from sedation to awakening.
The changes in tidal volume, oxygenation index and RASS score over time in the HFNC group were higher than those in the ONM group (0.05), and the awakening time in the HFNC group was faster than that in the ONM group (0.01), with significant statistical differences.
Compared with ONM, HFNC can shorten postoperative recovery time, reduce the incidence of agitation and improve lung function and oxygenation state during recovery from anesthesia.
探讨高流量鼻导管（HFNC）和氧气雾化面罩（ONM）对吸入麻醉术后患者恢复的影响。
对2019年9月至2021年9月在河北医科大学第四医院麻醉科恢复室接受吸入全麻的128例患者进行回顾性分析。所有患者均采用相同的麻醉诱导和镇痛方法，吸入麻醉或静吸复合麻醉维持，术后恢复自主呼吸并拔除气管插管，然后分为HFNC组和ONM组进行氧疗。HFNC设置模式：流速：20 - 60升/分钟，湿化温度：37°C，调节氧浓度以维持指脉氧饱和度SPO>90%；ONM组，调节氧流速以维持指脉氧饱和度SPO>90%。两组患者进入恢复室后即刻、10分钟、20分钟进行比较，包括潮气量、血气、Richmond躁动镇静量表（RASS）评分及镇静至苏醒时间。
HFNC组潮气量、氧合指数及RASS评分随时间的变化高于ONM组（P<0.05），HFNC组苏醒时间快于ONM组（P<0.01），差异有统计学意义。
与ONM相比，HFNC可缩短术后恢复时间，降低躁动发生率，改善麻醉恢复期间的肺功能和氧合状态。
