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High Flow Nasal Cannula pp 81–99Cite as

Clinical Applications of High-Flow Nasal Cannula during Intubation and Weaning from Mechanical Ventilation

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Abstract

The beginning and the termination of invasive mechanical ventilation are two important phases both during anesthesia and in the intensive care unit. Physiological effects of high-flow nasal cannula (HFNC) make this technique extremely attractive to improve patient safety both during the placement of an endotracheal tube (intubation) and during the process leading to its successful removal (extubation). Available data indicate that HFNC can be useful to avoid oxygen desaturation during intubation both in surgical patients and in the less severe critically ill patients. HFNC is currently recommended to prevent postoperative respiratory failure (after extubation) in high-risk and/or obese patients. This technique, alone or combined with noninvasive ventilation, is also recommended to protect extubation in critically ill patients, particularly those at high risk.

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Authors and Affiliations

  1. Clinical Department of Anaesthesiology and Intensive Care Medicine, SS. Annunziata Hospital, Chieti, Italy

    Mariangela Battilana, Luca Serano, Carmine Giovanni Iovino, Pierluigi Di Giannatale, Ivan Dell’Atti & Salvatore M. Maggiore

  2. University Department of Innovative Technologies in Medicine & Dentistry, Gabriele d’Annunzio University of Chieti-Pescara, Chieti, Italy

    Salvatore M. Maggiore

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  1. Mariangela Battilana
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  2. Luca Serano
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  3. Carmine Giovanni Iovino
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  4. Pierluigi Di Giannatale
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  5. Ivan Dell’Atti
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  6. Salvatore M. Maggiore
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Correspondence to Salvatore M. Maggiore .

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  1. Department of Medicine, University of Varese and Pulmonary Rehabilitation Institute, Maugeri, Pavia, Italy

    Annalisa Carlucci

  2. Clinical Department of Anaesthesiology and Intensive Care Medicine, SS. Annunziata Hospital, Chieti, Italy

    Salvatore M. Maggiore

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Battilana, M., Serano, L., Iovino, C.G., Di Giannatale, P., Dell’Atti, I., Maggiore, S.M. (2021). Clinical Applications of High-Flow Nasal Cannula during Intubation and Weaning from Mechanical Ventilation. In: Carlucci, A., Maggiore, S.M. (eds) High Flow Nasal Cannula. Springer, Cham. https://doi.org/10.1007/978-3-030-42454-1_5

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