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High-Flow Nasal Cannula

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Personalized Mechanical Ventilation

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Abstract

High-flow nasal cannula (HFNC) is an innovative device delivering humidified and heated medical gases to patients at a flow rate of up to 60 L/min. The evidence on HFNC is emerging rapidly, supporting its use as an alternative respiratory support for critically ill patients. Indications for HFNC include acute hypoxemic respiratory failure, post-extubation, post-operative patients with high risk of respiratory complications, exacerbation of COPD, and conditions entailing do-not-intubate. The use of HFNC in acute respiratory failure reduces the need for respiratory support escalation like endotracheal intubation. This chapter reviews the physiology, hardware, working principle, current indications with evidence and adverse effects of the HFNC.

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Author information

Authors and Affiliations

  1. Department of Critical Care Medicine, NMC Specialty Hospital, Dubai, UAE

    Prashant Nasa

  2. Institute of Critical Care Medicine, Max Super Specialty Hospital, Saket, New Delhi, India

    Deven Juneja

Authors
  1. Prashant Nasa
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  2. Deven Juneja
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Editor information

Editors and Affiliations

  1. Critical Care Division Belize Healthcare Partners, Belize, Belize

    Jorge Hidalgo

  2. Pulmonary and Critical Care, University of Michigan, Ann Arbor, MI, USA

    Robert C Hyzy

  3. Critical Care Institute, Cleveland Clinic, Abu Dhabi, United Arab Emirates

    Ahmed Mohamed Reda Taha

  4. Critical Care, King Faisal Specialist Hospital & Research, Riyadh, Saudi Arabia

    Yasser Younis A. Tolba

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Nasa, P., Juneja, D. (2022). High-Flow Nasal Cannula. In: Hidalgo, J., Hyzy, R.C., Mohamed Reda Taha, A., Tolba, Y.Y.A. (eds) Personalized Mechanical Ventilation . Springer, Cham. https://doi.org/10.1007/978-3-031-14138-6_5

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  • DOI: https://doi.org/10.1007/978-3-031-14138-6_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-14137-9

  • Online ISBN: 978-3-031-14138-6

  • eBook Packages: MedicineMedicine (R0)

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