The importance of high flow nasal cannula (HFNC) oxygen therapy
High flow nasal cannula (HFNC) oxygen therapy devices are used on a daily-basis in many intensive care units and postoperative wards. Such a device deliver a mixture of air and oxygen, warmed, humidifi ed, with gas flow between 20-60 L/min, and inspired oxygen fraction between 0.21-1. Therefore, it...
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| Format: | Article |
| Language: | English |
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Media Med Publicis
2019-03-01
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| Series: | Modern Medicine |
| Subjects: | |
| Online Access: | https://medicinamoderna.ro/wp-content/uploads/2019/03/2019-1-1.pdf |
| _version_ | 1818673269958508544 |
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| author | TIGLIS Mirela NEAGU Tiberiu Paul DIACONU Camelia Cristina BRATU Ovidiu Gabriel SOCEA Bogdan LASCAR Ioan GRINTESCU Ioana Maria |
| author_facet | TIGLIS Mirela NEAGU Tiberiu Paul DIACONU Camelia Cristina BRATU Ovidiu Gabriel SOCEA Bogdan LASCAR Ioan GRINTESCU Ioana Maria |
| author_sort | TIGLIS Mirela |
| collection | DOAJ |
| description | High flow nasal cannula (HFNC) oxygen therapy devices are used on a daily-basis in many intensive care units and postoperative wards. Such a device deliver a mixture of air and oxygen, warmed, humidifi ed, with gas flow between 20-60 L/min, and inspired oxygen fraction between 0.21-1. Therefore, it improves oxygenation, decreases dead space, washes out the carbon dioxide (CO2) from patients’ airways, improves thoraco-abdominal synchrony and decreases the work of breathing. Studies have shown effi cacy of HFNC oxygen therapy use for acute hypoxemic respiratory failure, for patients with exacerbations of chronic pulmonary diseases, after extubation in order reduce the need for mechanical ventilation, in perioperative period to prevent atelectasis and in palliative care, in order to reduce breathlessness. It isn`t feasible for patients with severe altered neurological status, facial trauma, basal skull fracture, complete airway obstruction or epistaxis. There are no standardized recommendation for the use or contraindication of HFCN oxygen therapy. The weaning is realised according with patients’ tolerance, oxygen saturation, respiratory and heart rates. |
| first_indexed | 2024-12-17T07:53:07Z |
| format | Article |
| id | doaj.art-f521e074cfaa414d807c43b244252771 |
| institution | Directory Open Access Journal |
| issn | 2360-2473 1223-0472 |
| language | English |
| last_indexed | 2024-12-17T07:53:07Z |
| publishDate | 2019-03-01 |
| publisher | Media Med Publicis |
| record_format | Article |
| series | Modern Medicine |
| spelling | doaj.art-f521e074cfaa414d807c43b2442527712022-12-21T21:57:48ZengMedia Med PublicisModern Medicine2360-24731223-04722019-03-0126114https://doi.org/10.31689/rmm.2019.26.1.1The importance of high flow nasal cannula (HFNC) oxygen therapyTIGLIS Mirela0NEAGU Tiberiu Paul 1DIACONU Camelia Cristina 2BRATU Ovidiu Gabriel3SOCEA Bogdan4LASCAR Ioan5GRINTESCU Ioana Maria6Department of Anesthesiology and Intensive Care, Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Plastic Surgery and Reconstructive Microsurgery, Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Internal Medicine, Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Urology, „Dr. Carol Davila” University Emergency Central Military Hospital, Bucharest, RomaniaDepartment of General Surgery, „Sfantul Pantelimon” Clinical Emergency Hospital, Bucharest, RomaniaDepartment of Plastic Surgery and Reconstructive Microsurgery, Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Anesthesiology and Intensive Care, Emergency Clinical Hospital, Bucharest, RomaniaHigh flow nasal cannula (HFNC) oxygen therapy devices are used on a daily-basis in many intensive care units and postoperative wards. Such a device deliver a mixture of air and oxygen, warmed, humidifi ed, with gas flow between 20-60 L/min, and inspired oxygen fraction between 0.21-1. Therefore, it improves oxygenation, decreases dead space, washes out the carbon dioxide (CO2) from patients’ airways, improves thoraco-abdominal synchrony and decreases the work of breathing. Studies have shown effi cacy of HFNC oxygen therapy use for acute hypoxemic respiratory failure, for patients with exacerbations of chronic pulmonary diseases, after extubation in order reduce the need for mechanical ventilation, in perioperative period to prevent atelectasis and in palliative care, in order to reduce breathlessness. It isn`t feasible for patients with severe altered neurological status, facial trauma, basal skull fracture, complete airway obstruction or epistaxis. There are no standardized recommendation for the use or contraindication of HFCN oxygen therapy. The weaning is realised according with patients’ tolerance, oxygen saturation, respiratory and heart rates.https://medicinamoderna.ro/wp-content/uploads/2019/03/2019-1-1.pdfhigh flow nasal cannulaoxygen therapyhypoxemiaanesthesiacomfort |
| spellingShingle | TIGLIS Mirela NEAGU Tiberiu Paul DIACONU Camelia Cristina BRATU Ovidiu Gabriel SOCEA Bogdan LASCAR Ioan GRINTESCU Ioana Maria The importance of high flow nasal cannula (HFNC) oxygen therapy Modern Medicine high flow nasal cannula oxygen therapy hypoxemia anesthesia comfort |
| title | The importance of high flow nasal cannula (HFNC) oxygen therapy |
| title_full | The importance of high flow nasal cannula (HFNC) oxygen therapy |
| title_fullStr | The importance of high flow nasal cannula (HFNC) oxygen therapy |
| title_full_unstemmed | The importance of high flow nasal cannula (HFNC) oxygen therapy |
| title_short | The importance of high flow nasal cannula (HFNC) oxygen therapy |
| title_sort | importance of high flow nasal cannula hfnc oxygen therapy |
| topic | high flow nasal cannula oxygen therapy hypoxemia anesthesia comfort |
| url | https://medicinamoderna.ro/wp-content/uploads/2019/03/2019-1-1.pdf |
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