Journal Article10.1097/CPM.0B013E3182514F29
High-flow Oxygen Therapy in Acute Respiratory Failure
Joan R. Masclans,Oriol Roca +1 more
487
TL;DR: In this paper, a method has been described in which flows of up to 50 L/min are delivered through a nasal cannula with a heated humidifier that optimizes oxygen administration.
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Abstract: Traditionally, high-flow oxygen therapy (HFOT) was defined as the delivery of a flow of oxygen higher than 6 L/min. Recently, however, a method has been described in which flows of up to 50 L/min are delivered through a nasal cannula with a heated humidifier that optimizes oxygen administration. HFOT improves oxygenation by various mechanisms, for instance by decreasing oxygen dilution, reducing respiratory dead space, and generating a continuous positive airway pressure effect. It may also have a beneficial effect on hemodynamics, exercise capacity, and comfort, especially when a nasal cannula is used. HFOT is now a viable treatment option because of the use of heated humidifiers, which allow delivery of conditioned inspiratory gases at 37°C and 100% humidity. Properly conditioned gas provides higher comfort and minimizes deterioration of nasopharyngeal structures. Various HFOT systems are currently available. It is important to use the most comfortable device for the patient in question, with the best gas conditioning.
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Citations
Seriously, Should We Be Treating Severe ARDS With High-Flow Nasal Cannula Oxygen?—Reply
Jean-Damien Ricard,Jonathan Messika,Didier Dreyfuss,Karim Ben Ahmed,Romain Miguel-Montanes,Stéphane Gaudry,David Hajage +6 more
TL;DR: The crucial point missed by Drs Medina-Villanueva and Modesto i Alapont is the basic philosophy of acute ARDS management as mentioned in this paper, which is the core philosophy of ARDS.
1
Y a-t-il une place pour l’oxygénothérapie nasale à haut débit dans l’insuffisance respiratoire aiguë? Oui
J.-P. Frat,Rémi Coudroy,A.W. Thille +2 more
- 01 Jan 2018
TL;DR: In this paper, the authors compare the benefits of the OHD and the ventilation non-invasive (VNI) techniques in terms of mortalite compared with the VNI and the OHP.
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Jordi Rello,Joan Balcells +1 more
TL;DR: It is known that concrete populations such as pregnant women, obese individuals, immune depressed or asthmatic subjects, as well as healthy children and young adults, can avoid complications through the adequate and immediate use of oseltamivir.
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Logistical Challenge With Prehospital Use of High-Flow Nasal Oxygen Therapy in COVID-19-Induced Respiratory Distress: A Case Report.
Romain Kedzierewicz,Clément Derkenne,Adrien Fraudin,Paola Vanhaecke,Romain Jouffroy,Daniel Jost,Bertrand Prunet +6 more
TL;DR: In this paper, a 46-year-old nonsmoking man presented with a cough and fever, and his peripheral oxygen saturation (SpO2) in ambient air was 56% and respiratory rate was 46 breaths/min.
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