Keywords
Rapid sequence intubation
Hypoxemia
Prevention
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: To evaluate the relationship between the risk of hypoxemia in patients undergoing orotracheal intubation using the rapid sequence method and the use of preoxygenation with noninvasive ventilation as a prevention tool. Methods: Integrative literature review, which used the electronic database PubMed Central (PMC). The search terms included “Noninvasive Ventilation”, “Preoxygenation”, “Hypoxemia” from 2019 to 2024. After applying the search strategy, 594 articles were found, and a total of 13 articles were selected for detailed analysis. Results: The results showed better outcomes in adult patients preoxygenated with noninvasive ventilation undergoing rapid sequence orotracheal intubation. Comparative studies on the implementation of new associated ventilation devices, such as CNHF, COT and HFNC - in the procedure discussed - have still shown little conclusiveness regarding an increase in the improvement of these outcomes. Final considerations: The importance of individualizing therapy for each group of patients is highlighted, which should be carried out according to the pathologies and comorbidities. This will make it possible to define the most effective tool for preventing hypoxemia related to the orotracheal intubation procedure.
References
ADAMS JY, et al. Association Between Peripheral Blood Oxygen Saturation (SpO2)/Fraction of Inspired Oxygen (FiO2) Ratio Time at Risk and Hospital Mortality in Mechanically Ventilated Patients. The Permanente Journal, 2020; 24(9): 1-7.
BARBOSA A e MOSIER JM. Preoxygenation and apneic oxygenation in emergency airway management. Clinical and Experimental Emergency Medicine, 2024; 11(2): 136-144.
CHAUDHURI D, et al. High-flow nasal cannula compared with noninvasive positive pressure ventilation in acute hypoxic respiratory failure: a systematic review and meta-analysis. 2023; 5(4).
FONG KM, et al. Preoxygenation before intubation in adult patients with acute hypoxemic respiratory failure: a network meta-analysis of randomized trials. Critical Care, 2019; 23(1): 319.
GRIECO DL, et al. Non-invasive ventilatory support and high-flow nasal oxygen as first-line treatment of acute hypoxemic respiratory failure and ARDS. Intensive Care Med, 2021, 47: 851-866.
HAMEED IZS, et al. Does apneic oxygenation with nasopharyngeal cannula during intubation improve the oxygenation in patients with acute hypoxemic respiratory failure compared to the standard bag valve mask preoxygenation? An open‐labeled randomized control trial. Turkish Journal of Emergency Medicine, 2024; 24: 33-40.
HEN R, et al. High-flow nasal oxygenation versus face mask oxygenation for preoxygenation in patients undergoing double-lumen endobronchial intubation: protocol of a randomised controlled trial. BMJ Open, 2024; 14: 1-9.
JAIN R, et al. Correlation of oxygenation índices in invasive mechanical ventilated adult patients. Lung India 2024; 41: 176-80.
KESHAVJEE S, et al. Non-invasive support for the hypoxaemic patient. British Journal of Hospital Medicine, 2023; 84(1): 1-10.
LIU K, et al. Management of Postoperative Hypoxemia. Respiratory Care, 2021; 66: 1136-1145.
OSMAN A, et al. Helmet continuous positive airway pressure vs. high flow nasal cannula oxygen in acute cardiogenic pulmonary oedema: a randomized controlled trial. European Heart Journal: Acute Cardiovascular Care, 2021; 10: 1103-1111.
OWENS RL, et al. Supplemental oxygen and noninvasive ventilation. EUROPEAN RESPIRATORY REVIEW SERIES, 2023; 32: 220159.
RODRIGUEZ M, et al. Noninvasive ventilation vs. high-flow nasal cannula oxygen for preoxygenation before intubation in patients with obesity: a post hoc analysis of a randomized controlled trial. Ann. Intensive Care, 2021; 11: 1-14.
SHANG X e WANG Y. Comparison of outcomes of high-flow nasal cannula and noninvasive positive-pressure ventilation in patients with hypoxemia and various APACHE II scores after extubation. Therapeutic Advances in Respiratory Disease, 2021; 15: 1-11.
STEFAN M, et al. Protocol for two-arm pragmatic cluster randomized hybrid implementation-effectiveness trial comparing two education strategies for improving the uptake of noninvasive ventilation in patients with severe COPD exacerbation. Implement Sci Commun, 2020; 1: 46.
TONG X, et al. Clinical outcomes of high-flow nasal cannula oxygen therapy in acute heart failure patients with hypoxemia: A retrospective cohort study. Medicine, 2022; 101(43): 31124.
VETRUGNO L, et al. Noninvasive respiratory support in the perioperative setting: a narrative review, Frontiers in Medicine, 2024; 11: 1364475.
WETSCH WA, et al. A special oropharyngeal oxygenation device to facilitate apneic oxygenation in comparison to high flow oxygenation devices. Med Gas Res, 2022; 12(1): 28-31.
ZHANG C e OU M. Comparison of hypoxemia, intubation procedure, and complications for non-invasive ventilation against high-flow nasal cannula oxygen therapy for patients with acute hypoxemic respiratory failure: a non-randomized retrospective analysis for effectiveness and safety (NIVaHIC-aHRF). BMC Emerg Med, 2021; 21: 1-10.
ZHANG W, et al. Incidence of oxygen desaturation using a high-flow nasal cannula versus a facemask during flexible bronchoscopy in patients at risk of hypoxemia: a randomised controlled trial. BMC Pulm Med, 2022; 22: 1-8.