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Nasal High Flow: Novel Approach for Ventilatory Assist During Sleep

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Noninvasive Mechanical Ventilation

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Abstract

An open nasal cannula system for delivering warm and humidified air or oxygen at higher flow rates (2–50 l/min) has been shown to assist ventilation and outcomes in the acute setting in adults and in children. Nasal high flow (NHF) has been extended to assist ventilation during sleep and to treat sleep-disordered breathing. This chapter reviews the medical and technical requirements needed to use NHF during sleep and NHF’s effect on disordered breathing during sleep. The reason for this review is the promise of NHF becoming an alternative to conventional ventilatory assist such as nocturnal oxygen, positive pressure support, and nocturnal ventilation, all of which are hampered by a low adherence, leaving a majority of patients insufficiently treated.

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Abbreviations

BiPAP:

Bi-level positive airway pressure

COPD:

Chronic obstructive pulmonary disease

CPAP:

Continuous positive airway pressure

ICU:

Intensive care unit

LTOT:

Long-term oxygen therapy

NIV:

Noninvasive mechanical ventilation

OSA:

Obstructive sleep apnea

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Author information

Authors and Affiliations

  1. Division of Pulmonary, Critical Care and Sleep Medicine, Johns Hopkins University, Baltimore, MD, USA

    Hartmut Schneider MD PhD & Jason P. Kirkness PhD

Authors
  1. Hartmut Schneider MD PhD
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  2. Jason P. Kirkness PhD
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Corresponding author

Correspondence to Hartmut Schneider MD PhD .

Editor information

Editors and Affiliations

  1. Murcia, Spain

    Antonio M. Esquinas

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© 2016 Springer International Publishing Switzerland

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Schneider, H., Kirkness, J.P. (2016). Nasal High Flow: Novel Approach for Ventilatory Assist During Sleep. In: Esquinas, A. (eds) Noninvasive Mechanical Ventilation. Springer, Cham. https://doi.org/10.1007/978-3-319-21653-9_80

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  • DOI: https://doi.org/10.1007/978-3-319-21653-9_80

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-21652-2

  • Online ISBN: 978-3-319-21653-9

  • eBook Packages: MedicineMedicine (R0)

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