The International Tinnitus Journal

The Impact of Intraoperative High Flow Nasal Cannula (HFNC) on Elderly Patient's Outcomes Undergoing Hip Fracture Surgery under Spinal Anesthesia: A Randomized Study

Author(s): Majid Fakhir Alhamaidah, Habiba Ben Hamada, Talib Razaq M Aska, Lassaad Hassini, Walid Naija, Hussein Ali Hussein, Hussein Alkhfaji, Haider Muhy Al bareh, Ammar Hoom Mahdi, Amjed Qasim Mohammed, Mohammed Yaqob Sharef, Ahmed Jalal Fakher, Abdulrahman Abbas jasim, Mohamed Kahloul

Background: High flow nasal cannula is a noninvasive ventilator technique, uses a heated and humidified oxygen with high flow rates exceed the traditional airway devices like low flow nasal cannula and face mask in goals of enhance ventilation, reduce work of breathing and recruits the lungs. Objectives: The study aims to evaluate the influence of intraoperative HFNC on elderly patient’s outcomes undergoing hip surgery under spinal anesthesia. Method: A randomized controlled study included seventy patients aged ≥ 65 years enrolled for hip fracture repair under spinal anesthesia in orthopedic department of Sahloul Teaching Hospital over 6 months. Patients were randomly allocated for two groups of thirty-five patients; the Intervention group (I) and control group (C). Results: The total 70 patients were comparable regarding socio-demographic characteristics and baseline data. A significant variance between interventional group (I) and control group (C) regarding postoperative complications (p=0.023) regarding length of hospital stay, p-value showed a significant between two groups (p=0.03), there was no in hospital mortality in both groups. Conclusion: Application of HFNC intraoperative for traumatic hip fracture elderly patient may decrease the incidence of respiratory complications after surgery and reduces the time of hospital stay.

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