Why the study?
Does oxygen via nasal cannula maintain acceptable oxygen saturation compared to face mask in patients after early extubation following cardiothoracic surgery?
Does oxygen via nasal cannula maintain acceptable oxygen saturation compared to face mask in patients after early extubation following cardiothoracic surgery?
Using a nasal cannula instead of a face mask after early extubation in cardiothoracic surgery patients safely maintains oxygen saturation while improving comfort and reducing costs.
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Nasal cannula oxygen may enhance comfort and cut costs after cardiothoracic extubation; hypothesis-generating, needs RCTs before practice change.
Continuous reevaluation of protocols for patients' care is necessary to maintain high quality and cost-effectiveness in today's healthcare environment. A study of patients who had cardiothoracic surgery proved that after early extubation, patients could safely be given oxygen via nasal cannula with maintenance of acceptable oxygen saturation. The positive outcomes of this study were shorter exposure to oxygen at higher concentrations, greater compliance by patients, greater comfort for patients, and cost savings for the institution. This project was the result of thoughtful consideration and a willingness to question a standard practice that had been in existence in this cardiothoracic program for 20 years. Both patients and the institution benefit when we question why we do things and thoroughly evaluate our daily practice. All practitioners should always look for ways to change and improve practice for the betterment of patients.
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Zevola et al. (2001) studied this question.
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