High-Flow Nasal Cannula Improves Recovery in Elderly Patients Undergoing Ureteroscopic Lithotripsy
Author Information
Author(s): Lifei Tang, Ran Guo, Yaochen Quan, Haiwen Zhang, Yingcong Qian, Youjia Yu, Shaoyong Song, Jian Li
Primary Institution: The Fourth Affiliated Hospital of Soochow University
Hypothesis
Does intravenous anesthesia with high-flow nasal cannula improve recovery quality in elderly patients undergoing ureteroscopic holmium laser lithotripsy compared to laryngeal mask airway assisted general anesthesia?
Conclusion
HFNC can improve recovery quality in elderly patients after UHLL compared to LMA-assisted general anesthesia.
Supporting Evidence
- The HFNC group achieved significantly higher QoR-15 scores on the first postoperative day.
- The HFNC group had a shorter PACU stay and earlier out-of-bed mobilization.
- Lower rates of postoperative sore throat and cough were observed in the HFNC group.
Takeaway
Using a special oxygen delivery method called high-flow nasal cannula during surgery helps older patients recover better and feel more comfortable afterward.
Methodology
106 elderly patients were randomly assigned to receive either HFNC or LMA-assisted general anesthesia, with recovery quality measured using the QoR-15 questionnaire.
Potential Biases
Potential bias due to the single-center design and exclusion of patients with advanced cardiopulmonary disease.
Limitations
The study was conducted at a single hospital, included only ASA I-III patients with a BMI below 30, and did not measure hypercapnia in real time.
Participant Demographics
Elderly patients aged 60 to 85 years, mostly ASA physical status II, with a mean age of 73 years.
Statistical Information
P-Value
<0.001
Confidence Interval
-11 to -5
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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