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Feasibility of face mask spirometry during decannulation in head and neck surgery prospective cohort study


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Título : Feasibility of face mask spirometry during decannulation in head and neck surgery prospective cohort study
Autor : Sánchez Guerrero, José Antonio
Cebrià i Iranzo, Maria Àngels
Ferrer Sargues, Francisco José
Périé, Sophie
Materias: Traqueotomía.Face - Surgery.Cuello - Cirugía.Tracheotomy.Spirometry.Espirometría.Cara - Cirugía.Neck - Surgery.
Editorial : John Wiley & Sons
Citación : Sánchez-Guerrero, J. A., Cebrià I Iranzo, M. À., Ferrer-Sargues, F. J. & Périé, S. (2022). Feasibility of face mask spirometry during decannulation in head and neck surgery: prospective cohort study. Clinical Otolaryngology, vol. 47, i. 4 (jul.), pp. 521–528. DOI: https://doi.org/10.1111/coa.13938
Resumen : Objectives: To analyse the relationship between spirometric parameters measured with a face mask versus a mouthpiece, as well as the feasibility of face mask spirometric evaluation in a head and neck surgery (HNS) decannulation context. Furthermore, we examine peak inspiratory flow (PIF) cut-off values before and after decannulation. Design: Prospective cohort study. Setting: Otolaryngology HNS Department of a university teaching hospital. Participants: Twenty-four patients were selected. A maximal flow-volume loop was conducted before (with mouthpiece) and after (with mouthpiece and face mask) decannulation. Main outcome measures: Recorded outcomes were forced vital capacity (FVC), forced expiratory volume in the first second, peak expiratory flow, PIF, forced expiratory flow at 50% of FVC and forced inspiratory flow at 50% of FVC. Spearman correlation coefficients between spirometric parameters measured with a face mask versus a mouthpiece were calculated. Wilcoxon test was used to check differences between mouthpiece and face mask values. Results: Correlation between mouthpiece and face mask spirometric values was moderate to high (r = 0.46–0.95). All parameters measured by spirometry were significantly lower with a face mask than those obtained with a mouthpiece (p < 0.05). Before decannulation, the lowest PIF value (tested with mouthpiece) that allowed successful decannulation was 1 L/s. After decannulation, the lowest PIF value tested with mouthpiece and face mask for successful completion of the decannulation process were 0.77 and 0.56 L/s, respectively. Conclusion: Face mask is a feasible option to perform a spirometry when face diseases hinder spirometric evaluation through a mouthpiece in an HNC surgery context.
Descripción : Este artículo se encuentra disponible en la siguiente URL: https://onlinelibrary.wiley.com/doi/epdf/10.1111/coa.13938
URI : http://hdl.handle.net/10637/14384
Derechos: http://creativecommons.org/licenses/by/4.0/deed.es
ISSN : 1749-4478
1749-4486 (Electrónico)
Idioma: es
Fecha de publicación : 1-jul-2022
Centro : Universidad Cardenal Herrera-CEU
Aparece en las colecciones: Dpto. Enfermería y Fisioterapia





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