Preoxygenation is routinely performed before endotracheal intubation. In the intensive care unit, preoxygenation is often accomplished using a nose-mouth mask. It seems probable that high flow nasal cannula oxygen, which is used in the treatment of patients with hypoxemic respiratory failure, is equally effective in preventing the development of hypoxemia during intubation. In this prospective randomized study preoxygenation using high flow nasal cannula oxygen is compared with preoxygenation via nose-mouth mask in patients with hypoxemic respiratory failure.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
Preoxygenation using a nose-mouth mask.
Preoxygenation using high flow nasal cannula oxygen.
Intubation
Universitätsklinikum Hamburg-Eppendorf, Department of Intensive Care Medicine
Hamburg, Germany
Mean decrease in the saturation of oxygen (SpO2) during intubation.
Mean decrease in the saturation of oxygen measured by pulse oximetry (SpO2 \[%\]) during intubation.
Time frame: during intubation
Changes in blood gases after intubation.
Changes in arterial blood gases collected from arterial line (PaO2/FiO2 \[mmHg\] and PaCO2 \[mmHg\]) after intubation.
Time frame: 30 minutes after intubation
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