TY - JOUR
T1 - The clinical advantage of nasal high-flow in respiratory management during procedural sedation
T2 - A scoping review on the application of nasal high-flow during dental procedures with sedation
AU - Kurata, Shinji
AU - Sanuki, Takuro
AU - Higuchi, Hitoshi
AU - Miyawaki, Takuya
AU - Watanabe, Seiji
AU - Maeda, Shigeru
AU - Sato, Shuntaro
AU - Pinkham, Max
AU - Tatkov, Stanislav
AU - Ayuse, Takao
N1 - Funding Information:
This study was funded by the Japanese Dental Science Federation ( JDSF-DSP1–2021–111–1 ) for the Japanese Dental Society of Anesthesiology ( Principle Investigator: Takao Ayuse).
Publisher Copyright:
© 2022
PY - 2022/11
Y1 - 2022/11
N2 - Structured summary: Rationale: Nasal high-flow (NHF), a new method for respiratory management during procedural sedation, has greater advantages than conventional nasal therapy with oxygen. However, its clinical relevance for patients undergoing oral maxillofacial surgery and/or dental treatment remains uncertain and controversial, due to a paucity of studies. This scoping review compared and evaluated NHF and conventional nasal therapy with oxygen in patients undergoing oral maxillofacial surgery and/or dental treatment. Materials and methods: A literature search of two public electronic databases was conducted, and English writing randomized controlled trials (RCTs) of nasal high flow during dental procedure with sedation reviewed. The primary and secondary outcomes of interest were the incidence of hypoxemia and hypercapnia during sedation and the need for intervention to relieve upper airway obstruction, respectively. Results: The search strategy yielded 7 studies, of which three RCTs met our eligibility criteria, with a total of 78 patients. Compared with conventional nasal therapy with oxygen, NHF significantly reduced the incidence of hypoxemia and hypercapnia during procedural sedation. Conclusion: NHF can maintain oxygenation and possibly prevent hypercapnia in patients undergoing dental treatment. Additional RCTs are needed to clarify and confirm these findings.
AB - Structured summary: Rationale: Nasal high-flow (NHF), a new method for respiratory management during procedural sedation, has greater advantages than conventional nasal therapy with oxygen. However, its clinical relevance for patients undergoing oral maxillofacial surgery and/or dental treatment remains uncertain and controversial, due to a paucity of studies. This scoping review compared and evaluated NHF and conventional nasal therapy with oxygen in patients undergoing oral maxillofacial surgery and/or dental treatment. Materials and methods: A literature search of two public electronic databases was conducted, and English writing randomized controlled trials (RCTs) of nasal high flow during dental procedure with sedation reviewed. The primary and secondary outcomes of interest were the incidence of hypoxemia and hypercapnia during sedation and the need for intervention to relieve upper airway obstruction, respectively. Results: The search strategy yielded 7 studies, of which three RCTs met our eligibility criteria, with a total of 78 patients. Compared with conventional nasal therapy with oxygen, NHF significantly reduced the incidence of hypoxemia and hypercapnia during procedural sedation. Conclusion: NHF can maintain oxygenation and possibly prevent hypercapnia in patients undergoing dental treatment. Additional RCTs are needed to clarify and confirm these findings.
KW - Dentistry
KW - Nasal High Flow
KW - Procedural sedation
KW - Randomized clinical trials
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U2 - 10.1016/j.jdsr.2022.05.003
DO - 10.1016/j.jdsr.2022.05.003
M3 - Review article
AN - SCOPUS:85131435261
SN - 1882-7616
VL - 58
SP - 179
EP - 182
JO - Japanese Dental Science Review
JF - Japanese Dental Science Review
ER -