Abstract
Traditionally, oxygen therapy has been provided by way of a range of devices such as nasal prongs, face masks, and nose masks, the design of which has changed little since the initial versions were developed more than 80 years ago. Limitations to the provision of oxygen by conventional systems exist, including patient discomfort and intolerance, inaccurate delivery of oxygen, failure to provide flow equivalent to inspiratory demand, drying of the airway, and treatment failure requiring escalation of respiratory support. Nasal high-flow oxygen therapy (NHF) has come to be used widely in the treatment of acute respiratory failure. NHF has been demonstrated to be easy to institute, is comfortable to the patient, and achieves excellent adherence to therapy [1].
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Abbreviations
- BMI:
-
Body mass index
- EELI:
-
End-expiratory lung impedance
- EELV:
-
End-expiratory lung volume
- EIT:
-
Electrical impedance tomography
- FiO2 :
-
Fraction of inspired oxygen
- NHF:
-
Nasal high flow
References
Parke R, McGuinness S. Pressures delivered by nasal high flow therapy during all phases of the respiratory cycle. Respir Care. 2013;58:1621–4.
Chatila W, Nugent T, Vance G, Gaughan J, Criner GJ. The effects of high-flow vs low-flow oxygen on exercise in advanced obstructive airways disease. Chest. 2004;126:1108–15.
Ritchie JE, Williams AB, Gerard C, Hockey H. Evaluation of a humidified nasal high-flow oxygen system, using oxygraphy, capnography and measurement of upper airway pressures. Anaesth Intensive Care. 2011;39:1103–10.
Sim MA, Dean P, Kinsella J, Black R, Carter R, Hughes M. Performance of oxygen delivery devices when the breathing pattern of respiratory failure is simulated. Anaesthesia. 2008;63:938–40.
Ricard J. The high flow nasal oxygen in acute respiratory failure. Minerva Anestesiol. 2012;78(7):836–41.
Masclans JR, Roca O. High-flow oxygen therapy in acute respiratory failure. Clin Pulm Med. 2012;19:127–30.
Lee JH, Rehder K, Williford L, Cheifetz I, Turner D. Use of high flow nasal cannula in critically ill infants, children, and adults: a critical review of the literature. Intensive Care Med. 2013;39:247–57.
Spence C, Buchmann N, Jermy M. Unsteady flow in the nasal cavity with high flow therapy measured by stereoscopic PIV. Exp Fluids. 2012;52:569–79.
Hasani A, Chapman T, McCool D, Smith R, Dilwroth J, Agnew J. Domiciliary humidification improves lung mucociliary clearance in patients with bronchiectasis. Chron Respir Dis. 2008;5:81–6.
Roca O, Riera J, Torres F, Masclans J. High-flow oxygen therapy in acute respiratory failure. Respir Care. 2010;55:408–13.
Groves N, Tobin A. High flow nasal oxygen generates positive airway pressure in adult volunteers. Aust Crit Care. 2007;20:126–31.
Parke RL, Eccleston ML, McGuinness SP. The effects of flow on airway pressure during nasal high-flow oxygen therapy. Respir Care. 2011;56:1151–5.
Corley A, Caruana L, Barnett A, Tronstad O, Fraser JF. Oxygen delivery through high-flow nasal cannulae increase end-expiratory lung volume and reduce respiratory rate in post-cardiac surgical patients. Br J Anaesth. 2011;107:998–1004.
Riera J, Pérez P, Cortés J, Roca O, Masclans JR, Rello J. Effect of high-flow nasal cannula and body position on end-expiratory lung volume: a cohort study using electrical impedance tomography. Respir Care. 2013;58:589–96.
Tiruvoipati R, Lewis D, Haji K, Botha J. High-flow nasal oxygen vs high-flow face mask: a randomized crossover trial in extubated patients. J Crit Care. 2010;25:463–8.
Chanques G, Constantin J, Sauter M, et al. Discomfort associated with underhumidified high-flow oxygen therapy in critically ill patients. Intensive Care Med. 2009;35:996–1003.
Sztrymf B, Messika J, Bertrand F, et al. Beneficial effects of humidified high flow nasal oxygen in critical care patients: a prospective pilot study. Intensive Care Med. 2011;37:1780–6.
Nicolet J, Poulard F, Baneton D, Rigal JC, Blanloeil Y. High-flow nasal oxygen for severe hypoxemia after cardiac surgery. Ann Fr Anesth Reanim. 2011;30:331–4.
Cuquemelle E, Pham T, Papon J, Louis B, Danin P, Brochard L. Heated and humidified high-flow oxygen therapy reduces discomfort during hypoxaemic respiratory failure. Respir Care. 2012;57:1571–7.
Parke RL, McGuinness SP, Eccleston ML. A preliminary randomized controlled trial to assess effectiveness of nasal high-flow oxygen in intensive care patients. Respir Care. 2011;56:265–70.
Lenglet H, Sztrymf B, Leroy C, Brun P, Dreyfuss D, Ricard J. Humidified high flow nasal oxygen during respiratory failure in the emergency department: feasibility and efficacy. Respir Care. 2012;57:1873–8.
Ward JJ. High-flow oxygen administration by nasal cannula for adult and perinatal patients. Respir Care. 2013;58:98–122.
Rittayamai N, Tscheikuna J, Rujiwit P. High-flow nasal cannula versus conventional oxygen therapy after endotracheal extubation: a randomized crossover physiologic study. Respir Care. 2014;59:485–90.
Parke R, McGuinness S, Dixon R, Jull A. Open-label, phase II study of routine high-flow nasal oxygen therapy in cardiac surgical patients. Br J Anaesth. 2013;111:925–31.
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Parke, R.L. (2016). High-Flow Nasal Cannula Oxygen in Acute Respiratory Failure After Extubation: Key Practical Topics and Clinical Implications. In: Esquinas, A. (eds) Noninvasive Mechanical Ventilation and Difficult Weaning in Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-319-04259-6_17
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DOI: https://doi.org/10.1007/978-3-319-04259-6_17
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