About this trial
High flow nasal oxygen (HFNO) in the immediate postoperative period has been demonstrated to reduce the risk of postoperative pulmonary complications (PPC) after cardiothoracic surgery. In specific groups of patients such as the obese and after upper abdominal surgery the results are contradictive. However, there is lack of evidence if HFNO in the general high-risk patient after abdominal and non-cardiac thoracic surgery can reduce the prevalence of PPC, hypoxaemia and escalation of therapy. Therefore, the investigators aim to compare the use of HFNO with conventional oxygen therapy (COT) in high-risk patients after abdominal and non-cardiac thoracic surgery regarding postoperative pulmonary complications.
Eligibility criteria
Qualifiers
Age > 65 years
BMI >30
Preoperative SpO2 <95 %
Scheduled for lobectomy or pulmonary segment resection
Disqualifiers
Not suitable for postoperative HFNO, as decided by a study member or the anaesthetist in charge (such as total nasal obstruction, skull fracture, facial injuries)
Pregnancy
Not able to understand the study information or sign an informed consent.
Not able to participate with the treatment postoperatively
Trial design
Treatments tested in this trial
- High Flow Oxygen
- Oxygen
Treatment groups
Sponsors and collaborators
Region Stockholm
Lead sponsor
Karolinska Institutet
Collaborator