Prospective randomized trial comparing oxygen administration during nasal flexible bronchoscopy : oral vs nasal delivery.
OBJECTIVE
To determine the optimal method of delivering supplemental oxygen during flexible bronchoscopy (FB).


METHODS
Prospective study.


METHODS
University medical center.


METHODS
Ninety-seven consecutive patients undergoing outpatient nasal FB during a 7-month period.


METHODS
During FB, delivery of oxygen was alternated weekly and administered by nasal cannula either nasally (52 patients) or orally (45 patients). Prior to the procedure, patients completed a questionnaire regarding oral or nasal breathing preferences, history of sinus disease, allergy history, and perceived degree of nasal congestion.


RESULTS
Comparison of oxygen delivery groups demonstrated no significant difference in oxygen requirements (4.1 L/min nasal vs 3.8 L/min oral, p = 0.63), overall saturation nadir (90.9% nasal vs 91.4% oral, p = 0.85), or average saturation (95.8% nasal vs 95.7% oral, p = 0.57). No correlation between subjective symptoms or sinus or allergy history was found for oxygen requirements, average saturation, or saturation nadir.


CONCLUSIONS
These data suggest that during nasal FB, no discernible difference exists between administration of oxygen using cannulas placed either nasally or orally.
McCain
T W
TW
Department of Internal Medicine, Section of Pulmonary and Critical Care Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Dunagan
D P
DP
Adair
N E
NE
Chin
R
R
D001999:Bronchoscopy; D006801:Humans; D007440:Intubation / Q000379:methods*; D009055:Mouth; D009296:Nasal Cavity; D010100:Oxygen / Q000097:blood; D010102:Oxygen Inhalation Therapy / Q000379:methods*; D011446:Prospective Studies
D010100:Oxygen