The Role of high flow nasal therapy in Intensive Care Units
Introduction and purpose: High Flow Nasal Therapy is quite new respiratory support method, although recently it became more popular – especially during COVID-19 pandemic. Physiological mechanisms as well as main applications were observed and described in several randomized controlled trias and met...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Kazimierz Wielki University
2023-08-01
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| Series: | Journal of Education, Health and Sport |
| Subjects: | |
| Online Access: | https://apcz.umk.pl/JEHS/article/view/44992 |
| _version_ | 1828716946229559296 |
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| author | Michał Wyszkowski Anna Jaremek Joanna Kępa Norbert Kandefer Aleksandra Grabarczyk Anna Pawlak Sylwia Grad Małgorzata Gregorek Paweł Gregorek |
| author_facet | Michał Wyszkowski Anna Jaremek Joanna Kępa Norbert Kandefer Aleksandra Grabarczyk Anna Pawlak Sylwia Grad Małgorzata Gregorek Paweł Gregorek |
| author_sort | Michał Wyszkowski |
| collection | DOAJ |
| description |
Introduction and purpose: High Flow Nasal Therapy is quite new respiratory support method, although recently it became more popular – especially during COVID-19 pandemic. Physiological mechanisms as well as main applications were observed and described in several randomized controlled trias and metaanalisys. The purpose of this review is to present fundamental studies and indicate applications of this method.
Brief description of the state of knowladge: Breathing mixture with a maximum flow 60l/min needs to be heated and humidified to protect the airways from dryness. Optimal humidity improves mucocilary clearance, reduces inflammation of the airways and energy expenditure, especially in acute respiratory failure. High flow nasal therapy may imrpove the mechanics of breathing also by washout of nasopharyngeal dead space and generating positive airway pressure during exhalation, which keeps airways open and prevents the alveoli from collapsing. High flow therapy can be use in many different applications but at Intensive Care Unit the most important are: acute hypoxemia, during extubation or rest breaks from NIV. It is important to monitor the patient and predict the need for intubation on time. There are physiological states that we shoud focus on: respiratory rate, dyspnea or work of breathing, but it is good to know ROX index which can be helpful to assess the success of the therapy.
Summary (conlcusions): High flow nasal therapy is a simple and safety respiratory support method that can be applicable at Intensive Care Units. It can lower the intubation numbers and help during NIV rest breaks. High flow nasal therapy is a very promising method for all patients with respiratory failure but it is important to monitor the patient and not delay the intubation.
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| first_indexed | 2024-03-12T14:19:50Z |
| format | Article |
| id | doaj.art-bf9002bb729041f0904651c84a387aae |
| institution | Directory Open Access Journal |
| issn | 2391-8306 |
| language | English |
| last_indexed | 2024-03-12T14:19:50Z |
| publishDate | 2023-08-01 |
| publisher | Kazimierz Wielki University |
| record_format | Article |
| series | Journal of Education, Health and Sport |
| spelling | doaj.art-bf9002bb729041f0904651c84a387aae2023-08-19T10:48:27ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062023-08-0143110.12775/JEHS.2023.43.01.014The Role of high flow nasal therapy in Intensive Care UnitsMichał Wyszkowski0Anna Jaremek1Joanna Kępa2Norbert Kandefer3Aleksandra Grabarczyk4Anna Pawlak5Sylwia Grad6Małgorzata Gregorek7Paweł Gregorek8Independent Public Clinical Hospital No. 4 in LublinIndependent Public Clinical Hospital No. 4 in Lublin, 8 Doktora Kazimierza Jaczewskiego Street, 20-954 LublinIndependent Public Clinical Hospital No. 4 in Lublin, 8 Doktora Kazimierza Jaczewskiego Street, 20-954 LublinMedical University of Lublin, 1 Al. Racławickie, 20-059 LublinSteafan Kardynał Wyszyński Province Specialist Hospital in Lublin, 100 Aleja Kraśnicka, 20-718 LublinIndependent Public Clinical Hospital No. 4 in Lublin, 8 Doktora Kazimierza Jaczewskiego Street, 20-954 LublinIndependent Public Clinical Hospital No. 4 in Lublin, 8 Doktora Kazimierza Jaczewskiego Street, 20-954 LublinIndependent Public Clinical Hospital No. 4 in Lublin, 8 Doktora Kazimierza Jaczewskiego Street, 20-954 LublinIndependent Public Clinical Hospital No. 4 in Lublin Introduction and purpose: High Flow Nasal Therapy is quite new respiratory support method, although recently it became more popular – especially during COVID-19 pandemic. Physiological mechanisms as well as main applications were observed and described in several randomized controlled trias and metaanalisys. The purpose of this review is to present fundamental studies and indicate applications of this method. Brief description of the state of knowladge: Breathing mixture with a maximum flow 60l/min needs to be heated and humidified to protect the airways from dryness. Optimal humidity improves mucocilary clearance, reduces inflammation of the airways and energy expenditure, especially in acute respiratory failure. High flow nasal therapy may imrpove the mechanics of breathing also by washout of nasopharyngeal dead space and generating positive airway pressure during exhalation, which keeps airways open and prevents the alveoli from collapsing. High flow therapy can be use in many different applications but at Intensive Care Unit the most important are: acute hypoxemia, during extubation or rest breaks from NIV. It is important to monitor the patient and predict the need for intubation on time. There are physiological states that we shoud focus on: respiratory rate, dyspnea or work of breathing, but it is good to know ROX index which can be helpful to assess the success of the therapy. Summary (conlcusions): High flow nasal therapy is a simple and safety respiratory support method that can be applicable at Intensive Care Units. It can lower the intubation numbers and help during NIV rest breaks. High flow nasal therapy is a very promising method for all patients with respiratory failure but it is important to monitor the patient and not delay the intubation. https://apcz.umk.pl/JEHS/article/view/44992hypoxemic respiratory failuredyspnearespiratory failure |
| spellingShingle | Michał Wyszkowski Anna Jaremek Joanna Kępa Norbert Kandefer Aleksandra Grabarczyk Anna Pawlak Sylwia Grad Małgorzata Gregorek Paweł Gregorek The Role of high flow nasal therapy in Intensive Care Units Journal of Education, Health and Sport hypoxemic respiratory failure dyspnea respiratory failure |
| title | The Role of high flow nasal therapy in Intensive Care Units |
| title_full | The Role of high flow nasal therapy in Intensive Care Units |
| title_fullStr | The Role of high flow nasal therapy in Intensive Care Units |
| title_full_unstemmed | The Role of high flow nasal therapy in Intensive Care Units |
| title_short | The Role of high flow nasal therapy in Intensive Care Units |
| title_sort | role of high flow nasal therapy in intensive care units |
| topic | hypoxemic respiratory failure dyspnea respiratory failure |
| url | https://apcz.umk.pl/JEHS/article/view/44992 |
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