Tracheal Extubation Under Deep Anesthesia Using Transnasal Humidified Rapid Insufflation Ventilatory Exchange vs. Awake Extubation: An Open-Labeled Randomized Controlled Trial.

THRIVE awake extubation deep anesthesia hypoxia tracheal extubation

Journal

Frontiers in medicine
ISSN: 2296-858X
Titre abrégé: Front Med (Lausanne)
Pays: Switzerland
ID NLM: 101648047

Informations de publication

Date de publication:
2022
Historique:
received: 06 11 2021
accepted: 10 02 2022
entrez: 21 3 2022
pubmed: 22 3 2022
medline: 22 3 2022
Statut: epublish

Résumé

Tracheal extubation can be associated with several complications, including desaturation, agitation, hypertension, and tachycardia. We hypothesize that the use of transnasal humidified rapid insufflation ventilator exchange (THRIVE) immediately after extubation under deep anesthesia reduces the incidence of these adverse events. One hundred patients who underwent elective abdominal surgery under general anesthesia were randomly assigned to undergo tracheal extubation under deep anesthesia employing THRIVE (THRIVE group) or awake extubation (CONTROL group). The primary outcome was the incidence of experiencing desaturation (SpO The THRIVE group showed a lower incidence of desaturation than the CONTROL group (12 vs. 54%, OR = 0.22 [95% CI, 0.10-0.49], Tracheal extubation under deep anesthesia using THRIVE decreases the incidence of desaturation and adverse haemodynamic events and increases patient satisfaction. Extubation under deep anesthesia using THRIVE might be an alternative strategy in selected patient populations.

Sections du résumé

Background UNASSIGNED
Tracheal extubation can be associated with several complications, including desaturation, agitation, hypertension, and tachycardia. We hypothesize that the use of transnasal humidified rapid insufflation ventilator exchange (THRIVE) immediately after extubation under deep anesthesia reduces the incidence of these adverse events.
Methods UNASSIGNED
One hundred patients who underwent elective abdominal surgery under general anesthesia were randomly assigned to undergo tracheal extubation under deep anesthesia employing THRIVE (THRIVE group) or awake extubation (CONTROL group). The primary outcome was the incidence of experiencing desaturation (SpO
Results UNASSIGNED
The THRIVE group showed a lower incidence of desaturation than the CONTROL group (12 vs. 54%, OR = 0.22 [95% CI, 0.10-0.49],
Conclusion UNASSIGNED
Tracheal extubation under deep anesthesia using THRIVE decreases the incidence of desaturation and adverse haemodynamic events and increases patient satisfaction. Extubation under deep anesthesia using THRIVE might be an alternative strategy in selected patient populations.

Identifiants

pubmed: 35308520
doi: 10.3389/fmed.2022.810366
pmc: PMC8927763
doi:

Types de publication

Journal Article

Langues

eng

Pagination

810366

Informations de copyright

Copyright © 2022 Qiu, Xie, Chen, Chen, Chen, Zhu, Lin, Zhu, Duan and Huang.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Jin Qiu (J)

Department of Anesthesiology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.

Mian Xie (M)

Chongqing Traditional Chinese Medicine Hospital, Chongqing, China.

Jie Chen (J)

Department of Anesthesiology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.

Bing Chen (B)

Department of Anesthesiology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.

Yuanjing Chen (Y)

Department of Anesthesiology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.

Xiwen Zhu (X)

Department of Anesthesiology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.

Hui Lin (H)

Department of Statistics, Army Medical University, Chongqing, China.

Tao Zhu (T)

Department of Anesthesiology and Translational Neuroscience Center, West China Hospital, Sichuan University, Chengdu, China.

Guangyou Duan (G)

Department of Anesthesiology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.

He Huang (H)

Department of Anesthesiology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.

Classifications MeSH