High-flow nasal cannula for respiratory failure in adult patients
The high-flow nasal cannula (HFNC) has been recently used in several clinical settings for oxygenation in adults. In particular, the advantages of HFNC compared with low-flow oxygen systems or non-invasive ventilation include enhanced comfort, increased humidification of secretions to facilitate exp...
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Format: | Article |
Language: | English |
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Korean Society of Critical Care Medicine
2021-11-01
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Series: | Acute and Critical Care |
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Online Access: | http://www.accjournal.org/upload/pdf/acc-2021-01571.pdf |
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author | SeungYong Park |
author_facet | SeungYong Park |
author_sort | SeungYong Park |
collection | DOAJ |
description | The high-flow nasal cannula (HFNC) has been recently used in several clinical settings for oxygenation in adults. In particular, the advantages of HFNC compared with low-flow oxygen systems or non-invasive ventilation include enhanced comfort, increased humidification of secretions to facilitate expectoration, washout of nasopharyngeal dead space to improve the efficiency of ventilation, provision of a small positive end-inspiratory pressure effect, and fixed and rapid delivery of an accurate fraction of inspired oxygen (FiO2) by minimizing the entrainment of room air. HFNC has been successfully used in critically ill patients with several conditions, such as hypoxemic respiratory failure, hypercapneic respiratory failure (exacerbation of chronic obstructive lung disease), post-extubation respiratory failure, pre-intubation oxygenation, and others. However, the indications are not absolute, and much of the proven benefit remains subjective and physiologic. This review discusses the practical application and clinical uses of HFNC in adults, including its unique respiratory physiologic effects, device settings, and clinical indications. |
first_indexed | 2024-12-11T16:18:40Z |
format | Article |
id | doaj.art-fd1071438e7b4fc3a983f726dfc95e6b |
institution | Directory Open Access Journal |
issn | 2586-6052 2586-6060 |
language | English |
last_indexed | 2024-12-11T16:18:40Z |
publishDate | 2021-11-01 |
publisher | Korean Society of Critical Care Medicine |
record_format | Article |
series | Acute and Critical Care |
spelling | doaj.art-fd1071438e7b4fc3a983f726dfc95e6b2022-12-22T00:58:53ZengKorean Society of Critical Care MedicineAcute and Critical Care2586-60522586-60602021-11-0136427528510.4266/acc.2021.015711338High-flow nasal cannula for respiratory failure in adult patientsSeungYong Park0 Division of Respiratory, Allergy and Critical Care Medicine, Department of Internal Medicine, Jeonbuk National University Medical School, Jeonju, KoreaThe high-flow nasal cannula (HFNC) has been recently used in several clinical settings for oxygenation in adults. In particular, the advantages of HFNC compared with low-flow oxygen systems or non-invasive ventilation include enhanced comfort, increased humidification of secretions to facilitate expectoration, washout of nasopharyngeal dead space to improve the efficiency of ventilation, provision of a small positive end-inspiratory pressure effect, and fixed and rapid delivery of an accurate fraction of inspired oxygen (FiO2) by minimizing the entrainment of room air. HFNC has been successfully used in critically ill patients with several conditions, such as hypoxemic respiratory failure, hypercapneic respiratory failure (exacerbation of chronic obstructive lung disease), post-extubation respiratory failure, pre-intubation oxygenation, and others. However, the indications are not absolute, and much of the proven benefit remains subjective and physiologic. This review discusses the practical application and clinical uses of HFNC in adults, including its unique respiratory physiologic effects, device settings, and clinical indications.http://www.accjournal.org/upload/pdf/acc-2021-01571.pdfhigh-flow nasal cannulaoxygenrespiratory failure |
spellingShingle | SeungYong Park High-flow nasal cannula for respiratory failure in adult patients Acute and Critical Care high-flow nasal cannula oxygen respiratory failure |
title | High-flow nasal cannula for respiratory failure in adult patients |
title_full | High-flow nasal cannula for respiratory failure in adult patients |
title_fullStr | High-flow nasal cannula for respiratory failure in adult patients |
title_full_unstemmed | High-flow nasal cannula for respiratory failure in adult patients |
title_short | High-flow nasal cannula for respiratory failure in adult patients |
title_sort | high flow nasal cannula for respiratory failure in adult patients |
topic | high-flow nasal cannula oxygen respiratory failure |
url | http://www.accjournal.org/upload/pdf/acc-2021-01571.pdf |
work_keys_str_mv | AT seungyongpark highflownasalcannulaforrespiratoryfailureinadultpatients |