Cold bubble humidification of low-flow oxygen does not prevent acute changes in inflammation and oxidative stress at nasal mucosa

Abstract Some clinical situations require the use of oxygen therapy for a few hours without hypoxemia. However, there are no literature reports on the effects of acute oxygen therapy on the nasal mucosa. This study aimed to evaluate the acute effects of cold bubble humidification or dry oxygen on na...

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Autores principales: Lauriana Alves Santana, Suellen Karoline Moreira Bezerra, Beatriz Mangueira Saraiva-Romanholo, Wellington Pereira Yamaguti, Iolanda de Fátima Lopes Calvo Tibério, Tabata Maruyama dos Santos, Renato Fraga Righetti
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/64ca604907ac4b1483cdbff2686df915
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spelling oai:doaj.org-article:64ca604907ac4b1483cdbff2686df9152021-12-02T18:30:45ZCold bubble humidification of low-flow oxygen does not prevent acute changes in inflammation and oxidative stress at nasal mucosa10.1038/s41598-021-93837-x2045-2322https://doaj.org/article/64ca604907ac4b1483cdbff2686df9152021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-93837-xhttps://doaj.org/toc/2045-2322Abstract Some clinical situations require the use of oxygen therapy for a few hours without hypoxemia. However, there are no literature reports on the effects of acute oxygen therapy on the nasal mucosa. This study aimed to evaluate the acute effects of cold bubble humidification or dry oxygen on nasal Inflammation, oxidative stress, mucociliary clearance, and nasal symptoms. This is a randomized controlled cross-sectional study in which healthy subjects were randomly allocated into four groups: (1) CA + DRY (n = 8): individuals receiving dry compressed air; (2) OX + DRY (n = 8): individuals receiving dry oxygen therapy; (3) CA + HUMID (n = 7): individuals receiving cold bubbled humidified compressed air; (4) OX + HUMID (n = 8): individuals receiving cold bubbled humidified oxygen therapy. All groups received 3 L per minute (LPM) of the oxygen or compressed air for 1 h and were evaluated: total and differential cells in the nasal lavage fluid (NLF), exhaled nitric oxide (eNO), 8-iso-PGF2α levels, saccharin transit test, nasal symptoms, and humidity of nasal cannula and mucosa. Cold bubble humidification is not able to reduced nasal inflammation, eNO, oxidative stress, mucociliary clearance, and nasal mucosa moisture. However, subjects report improvement of nasal dryness symptoms (P < 0.05). In the conclusion, cold bubble humidification of low flow oxygen therapy via a nasal cannula did not produce any effect on the nasal mucosa and did not attenuate the oxidative stress caused by oxygen. However, it was able to improve nasal symptoms arising from the use of oxygen therapy.Lauriana Alves SantanaSuellen Karoline Moreira BezerraBeatriz Mangueira Saraiva-RomanholoWellington Pereira YamagutiIolanda de Fátima Lopes Calvo TibérioTabata Maruyama dos SantosRenato Fraga RighettiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Lauriana Alves Santana
Suellen Karoline Moreira Bezerra
Beatriz Mangueira Saraiva-Romanholo
Wellington Pereira Yamaguti
Iolanda de Fátima Lopes Calvo Tibério
Tabata Maruyama dos Santos
Renato Fraga Righetti
Cold bubble humidification of low-flow oxygen does not prevent acute changes in inflammation and oxidative stress at nasal mucosa
description Abstract Some clinical situations require the use of oxygen therapy for a few hours without hypoxemia. However, there are no literature reports on the effects of acute oxygen therapy on the nasal mucosa. This study aimed to evaluate the acute effects of cold bubble humidification or dry oxygen on nasal Inflammation, oxidative stress, mucociliary clearance, and nasal symptoms. This is a randomized controlled cross-sectional study in which healthy subjects were randomly allocated into four groups: (1) CA + DRY (n = 8): individuals receiving dry compressed air; (2) OX + DRY (n = 8): individuals receiving dry oxygen therapy; (3) CA + HUMID (n = 7): individuals receiving cold bubbled humidified compressed air; (4) OX + HUMID (n = 8): individuals receiving cold bubbled humidified oxygen therapy. All groups received 3 L per minute (LPM) of the oxygen or compressed air for 1 h and were evaluated: total and differential cells in the nasal lavage fluid (NLF), exhaled nitric oxide (eNO), 8-iso-PGF2α levels, saccharin transit test, nasal symptoms, and humidity of nasal cannula and mucosa. Cold bubble humidification is not able to reduced nasal inflammation, eNO, oxidative stress, mucociliary clearance, and nasal mucosa moisture. However, subjects report improvement of nasal dryness symptoms (P < 0.05). In the conclusion, cold bubble humidification of low flow oxygen therapy via a nasal cannula did not produce any effect on the nasal mucosa and did not attenuate the oxidative stress caused by oxygen. However, it was able to improve nasal symptoms arising from the use of oxygen therapy.
format article
author Lauriana Alves Santana
Suellen Karoline Moreira Bezerra
Beatriz Mangueira Saraiva-Romanholo
Wellington Pereira Yamaguti
Iolanda de Fátima Lopes Calvo Tibério
Tabata Maruyama dos Santos
Renato Fraga Righetti
author_facet Lauriana Alves Santana
Suellen Karoline Moreira Bezerra
Beatriz Mangueira Saraiva-Romanholo
Wellington Pereira Yamaguti
Iolanda de Fátima Lopes Calvo Tibério
Tabata Maruyama dos Santos
Renato Fraga Righetti
author_sort Lauriana Alves Santana
title Cold bubble humidification of low-flow oxygen does not prevent acute changes in inflammation and oxidative stress at nasal mucosa
title_short Cold bubble humidification of low-flow oxygen does not prevent acute changes in inflammation and oxidative stress at nasal mucosa
title_full Cold bubble humidification of low-flow oxygen does not prevent acute changes in inflammation and oxidative stress at nasal mucosa
title_fullStr Cold bubble humidification of low-flow oxygen does not prevent acute changes in inflammation and oxidative stress at nasal mucosa
title_full_unstemmed Cold bubble humidification of low-flow oxygen does not prevent acute changes in inflammation and oxidative stress at nasal mucosa
title_sort cold bubble humidification of low-flow oxygen does not prevent acute changes in inflammation and oxidative stress at nasal mucosa
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/64ca604907ac4b1483cdbff2686df915
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