Review Article

Comparison of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange and Facemasks in Preoxygenation: A Systematic Review and Meta-Analysis

Table 1

Study characteristics and outcomes of interest assessed in included studies.

StudyResearch typeGroupsCasesAge (years), mean (SD)Sex (male/female)BMI (kg/m2), median (IQR [range])The median of PaO2 after preoxygenation (mmHg/kPa), median (IQR [range])Time taken for intubation (s), median (IQR [range])SpO2 after successful intubation, median (IQR [range])Apnea time (s), median (IQR [range])PCO2 after complete paralysis or intubation preoxygenation (mmHg/kPa)

Ng et al. [14]Prospective randomized controlled trialTHRIVE2452.6 (17.4)13/1126.6 (4.3)471 (IQR 429–516 [range 185–550])52 (40–76 [29–315])99.7% (98.4%–100% [91.6%–100%])NANA
Facemask2457.3 (15.6)13/1127.4 (3.5)357 (interquartile range (IQR) 324–450 [range 183–550])58 (45–113 [30–220])100% (99.4%–100% [94.5%–100%])NANA
Hua et al. [11]Randomized controlled trialTHRIVE3016/14378.37 (110.70)25 (20~40)NA600 (600–600)NA
Facemask2817/11292.50 (84.14)25 (20~40)NA600 (231.5–600)NA
Lodenius et al. [13]Prospective randomized nonblinded clinical trialTHRIVE4055.6 (17.3)20/2024.5 (4.6)NA48 (38–63 [10–146])99% (99–100 [96–100]%)116 (92–146 [63–249])NA
Facemask3951.8 (19.6)16/2326.0 (5.1)NA51 (34–66 [22–261])99% (97–100 [70–100]%)109 (86–142 [37–291])NA
Mir et al. [3]Randomized controlled trialTHRIVE2046.4 (16.8)11/926 (24.5–31.5 [22–46])43.7 (15.2)NANA248 (71)5.8 (1.1)
Facemask2051.8 (21)9/1125 (23–29.25 [21–48])41.9 (16.2)NANA123 (55)5.6 (1.0)kPa
Joseph et al. [12]Randomized controlled trialTHRIVE53/2NANANANA
Facemask52/3NANANANA

Patient characteristics. Data are presented as mean (SD), number (proportion), or median (interquartile range). BMI: body mass index; SD: standard deviation; IQR: interquartile range; THRIVE: Transnasal Humidified Rapid-Insufflation Ventilatory Exchange.