High-flow nasal cannula can be used outside the ICU.
نویسندگان
چکیده
We read with great interest the article recently published in CHEST (July 2015) by Spoletini et al, 1 an excellent narrative review about the mechanisms of action and clinical implications of using heated, humidifi ed highfl ow nasal cannula (HFNC) oxygenation systems in adults. In their article, the authors make the recommendation that HFNC use on regular wards should be discouraged, especially in patients with severe hypoxemia. However, we do not entirely agree with this comment.
منابع مشابه
Use of high-flow nasal cannula oxygen therapy to prevent desaturation during tracheal intubation of intensive care patients with mild-to-moderate hypoxemia.
OBJECTIVES Tracheal intubation of ICU patients is frequently associated with severe hypoxemia. Although noninvasive ventilation reduces desaturation during intubation of severely hypoxemic patients, it does not allow for per-procedure oxygenation and has not been evaluated in mild-to-moderate hypoxemic patients for whom high-flow nasal cannula oxygen may be an alternative. We sought to compare ...
متن کاملHeated Humidified High-Flow Nasal Cannula Versus Nasal Continuous Positive Airway Pressure for the Facilitation of Extubation in Preterm Neonates with Respiratory Distress
Background: Heated humidified high-flow nasal cannula (HHHFNC) is gaining popularity as an alternative to nasal continuous positive airway pressure (nCPAP) therapy in the management of preterm neonates with respiratory distress due to ease of administration and patient comfort. However, limited evidence is available addressing its risks and benefits. To study the efficacy and safety of HHHFNC i...
متن کاملEffort of breathing in children receiving high-flow nasal cannula.
OBJECTIVE High-flow humidified nasal cannula is often used to provide noninvasive respiratory support in children. The effect of high-flow humidified nasal cannula on effort of breathing in children has not been objectively studied, and the mechanism by which respiratory support is provided remains unclear. This study uses an objective measure of effort of breathing (Pressure. Rate Product) to ...
متن کاملComparison of the Heated Humidified High-flow Nasal Cannula with Nasal Continuous Positive Airway Pressure as Primary Respiratory Support for Preterm Neonates: A Prospective Observational Study
Background: Heated humidified high-flow nasal cannula (HHHFNC) is gaining popularity in the management of respiratory distress in preterm neonates. However, it is not known whether it takes precedence over the gold standard nasal continuous positive airway pressure (NCPAP) in this age group as a primary mode of non-invasive ventilation (NIV). There is limited evidence ...
متن کاملHigh-flow nasal cannula oxygen therapy versus noninvasive ventilation versus in immunocompromised patients with acute respiratory failure
Introduction Acute respiratory failure (ARF) is the leading cause of intensive care unit (ICU) admission of immunocompromised patients. In the early 2000’s, two randomized controlled trials suggested that noninvasive ventilation (NIV) could decrease mortality of immunocompromised patients admitted to ICU for acute respiratory failure (ARF) as compared to standard oxygen therapy (O2). However, t...
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عنوان ژورنال:
- Chest
دوره 148 4 شماره
صفحات -
تاریخ انتشار 2015