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Keywords High Flow Nasal Cannula Oxygen...

High Flow Nasal Cannula Oxygen Therapy

https://read.qxmd.com/read/38371128/high-flow-nasal-cannula-in-covid-19-patients-with-moderate-to-severe-respiratory-distress-a-retrospective-analysis
#21
JOURNAL ARTICLE
Lubna Saffarini, Nour Sabobeh, Chafika Lasfer, Sara Kazim
BACKGROUND: A high-flow nasal cannula (HFNC) is a device for non-invasive ventilation (NIV). It was utilized during the COVID-19 pandemic in patients with moderate to severe respiratory distress due to its benefit profile in delaying intubation, ease of use, and comfort of patients in comparison to NIV. OBJECTIVES: Our main objective is to calculate the intubation rate of patients with suspected or lab-confirmed COVID-19 in moderate to severe respiratory distress who failed graded oxygen therapy (GOT)...
January 2024: Curēus
https://read.qxmd.com/read/38367183/a-case-of-late-onset-organizing-pneumonia-following-covid-19-infection-in-a-post-kidney-transplant-patient
#22
JOURNAL ARTICLE
Kumiko Fujieda, Shoji Saito, Akihito Tanaka, Kazuhiro Furuhashi, Yosinari Yasuda, Yuta Sano, Masashi Kato, Shoichi Maruyama
A 50-year-old man who had undergone a living-donor kidney transplant 12 years prior for chronic renal failure due to autosomal dominant polycystic kidney disease contracted coronavirus disease 19 (COVID-19). He had a positive antigen test, mild symptoms, sore throat, and fever of 37.9 ℃. The patient was treated with molnupiravir for 5 days, and the symptoms disappeared 5 days after onset. However, 10 days after onset, he developed a fever of approximately 37 ℃ and a non-productive cough; 27 days after onset, the patient was hospitalized for anorexia and a worsening respiratory condition...
February 17, 2024: CEN Case Reports
https://read.qxmd.com/read/38360681/external-validation-of-the-hacor-score-and-rox-index-for-predicting-treatment-failure-in-patients-with-coronavirus-disease-2019-pneumonia-managed-on-high-flow-nasal-cannula-therapy-a-multicenter-retrospective-observational-study-in-japan
#23
JOURNAL ARTICLE
Hiromu Okano, Ryohei Yamamoto, Yudai Iwasaki, Daisuke Irimada, Daisuke Konno, Taku Tanaka, Takatoshi Oishi, Hiroki Nawa, Akihiko Yano, Hiroaki Taniguchi, Masayuki Otawara, Ayaka Matsuoka, Masanori Yamauchi
BACKGROUND: The HACOR score for predicting treatment failure includes vital signs and acid-base balance factors, whereas the ROX index only considers the respiratory rate, oxygen saturation, and fraction of inspired oxygen (FiO2 ). We aimed to externally validate the HACOR score and ROX index for predicting treatment failure in patients with coronavirus disease 2019 (COVID-19) on high-flow nasal cannula (HFNC) therapy in Japan. METHODS: This retrospective, observational, multicenter study included patients, aged ≥ 18 years, diagnosed with COVID-19 and treated with HFNC therapy between January 16, 2020, and March 31, 2022...
February 15, 2024: Journal of Intensive Care
https://read.qxmd.com/read/38359052/comparison-of-rox-hrox-and-delta-hr-indices-to-predict-successful-weaning-from-high-flow-oxygen-therapy-in-hospitalized-patients-with-covid-19-pneumonia
#24
JOURNAL ARTICLE
Pitchayapa Ruchiwit, Jaturong Madua, Narongkorn Saiphoklang
BACKGROUND: High-flow nasal cannula (HFNC) therapy is commonly used to treat acute respiratory failure in patients with COVID-19 pneumonia. However, predictors of successful weaning from HFNC in these patients has not been investigated. OBJECTIVE: To assess predictors of successful separation from HFNC in patients with COVID-19 pneumonia. METHODS: We conducted a retrospective cohort study at a university hospital in Thailand. Patients with COVID-19 pneumonia requiring HFNC therapy between April 2020 and June 2022 were included...
2024: PloS One
https://read.qxmd.com/read/38353714/effect-of-aggressive-vs-conservative-screening-and-confirmatory-test-on-time-to-extubation-among-patients-at-low-or-intermediate-risk-a-randomized-clinical-trial
#25
JOURNAL ARTICLE
Gonzalo Hernández Martínez, Patricia Rodriguez, Jesus Soto, Oriol Caritg, Andrea Castellví-Font, Borja Mariblanca, Antonio Maria García, Laura Colinas, Jose Manuel Añon, Francisco Jose Parrilla-Gomez, Jose Alberto Silva-Obregón, Joan Ramon Masclans, Alicia Propin, Alicia Cuadra, Mario Guillermo Dalorzo, Gemma Rialp, Fernando Suarez-Sipmann, Oriol Roca
PURPOSE: This study aimed to determine the best strategy to achieve fast and safe extubation. METHODS: This multicenter trial randomized patients with primary respiratory failure and low-to-intermediate risk for extubation failure with planned high-flow nasal cannula (HFNC) preventive therapy. It included four groups: (1) conservative screening with ratio of partial pressure of arterial oxygen (PaO2 ) to fraction of inspired oxygen (FiO2 ) ≥ 150 and positive end-expiratory pressure (PEEP) ≤ 8 cmH2 O plus conservative spontaneous breathing trial (SBT) with pressure support 5 cmH2 O + PEEP 0 cmH2 O); (2) screening with ratio of partial pressure of arterial oxygen (PaO2 ) to fraction of inspired oxygen (FiO2 ) ≥ 150 and PEEP ≤ 8 plus aggressive SBT with pressure support 8 + PEEP 5; (3) aggressive screening with PaO2 /FiO2  > 180 and PEEP 10 maintained until the SBT with pressure support 8 + PEEP 5; (4) screening with PaO2 /FiO2  > 180 and PEEP 10 maintained until the SBT with pressure support 5 + PEEP 0...
February 14, 2024: Intensive Care Medicine
https://read.qxmd.com/read/38344580/critical-case-of-a-preterm-infant-infected-with-respiratory-syncytial-virus-managed-in-the-pediatric-intensive-care-unit-a-case-report
#26
Amaal F Alshihabi, Saleh A Alnass, Fatimah S Alsammak, Muhammad S Al Abdrabalnabi
We describe a critical case of a respiratory syncytial virus (RSV) infection in a preterm infant resulting in respiratory failure with advanced respiratory interventions and discharge from our hospital without the requirement for home oxygen therapy or tube feeding. The infant, delivered at 35 weeks gestation due to a premature rupture of the membranes with a birth weight of 2 kg, initially demonstrated a stable postnatal course. The baby required no resuscitation, with Apgar scores of 8 and 9 at one and five minutes, respectively...
January 2024: Curēus
https://read.qxmd.com/read/38343517/ratio-of-oxygen-saturation-index-for-predicting-high-flow-nasal-cannula-outcomes-in-emergency-department-for-covid-19-patients-with-severe-hypoxemia-a-retrospective-study
#27
JOURNAL ARTICLE
Cynthia Karam, Ahmad Oseili, Fadia M Shebbo, Mohamad Fakih, Mohamad F El-Khatib
OBJECTIVES: High-flow nasal cannula (HFNC) oxygen therapy has been used as an initial ventilatory support for coronavirus disease 2019 (COVID-19) patients with mixed levels of acute hypoxemic respiratory failure (AHRF). However, the effectiveness of HFNC when used as initial ventilatory support in COVID-19 patients with severe AHRF exclusively is not well documented. Ratio of oxygen saturation (ROX) index (ROX = [SpO2 /fraction of inspired oxygen]/respiratory rate) was shown to predict the outcome of HFNC in intensive care unit patients...
2024: Turkish Journal of Emergency Medicine
https://read.qxmd.com/read/38330877/management-of-high-risk-pulmonary-embolism-in-the-emergency-department-a-narrative-review
#28
JOURNAL ARTICLE
Samuel G Rouleau, Scott D Casey, Christopher Kabrhel, David R Vinson, Brit Long
BACKGROUND: High-risk pulmonary embolism (PE) is a complex, life-threatening condition, and emergency clinicians must be ready to resuscitate and rapidly pursue primary reperfusion therapy. The first-line reperfusion therapy for patients with high-risk PE is systemic thrombolytics (ST). Despite consensus guidelines, only a fraction of eligible patients receive ST for high-risk PE. OBJECTIVE: This review provides emergency clinicians with a comprehensive overview of the current evidence regarding the management of high-risk PE with an emphasis on ST and other reperfusion therapies to address the gap between practice and guideline recommendations...
February 3, 2024: American Journal of Emergency Medicine
https://read.qxmd.com/read/38320812/automatic-adjustment-of-oxygen-concentration-during-high-flow-nasal-cannula-treatment-using-a-targeted-spo2-feedback-system
#29
JOURNAL ARTICLE
Woo Jung Seo, Eun Young Kim, Ga Jin Seo, Hee Jung Suh, Jin Won Huh, Sang-Bum Hong, Younsuck Koh, Chae-Man Lim
AIM: To test whether targeted SpO2 feedback (TSF), an automatic control system for fraction of inspired oxygen (FiO2), achieves more time in the optimal SpO2 range and/or reduces the frequency of manual adjustments to administered FiO2 compared with conventional manual titration in patients with hypoxia on high-flow nasal cannula (HFNC) therapy. STUDY DESIGN: Twenty-two patients were recruited from two hospitals. For each, two sessions of manual mode and two sessions of TSF were applied in a random order, each session lasting 2 h...
February 6, 2024: Nursing in Critical Care
https://read.qxmd.com/read/38315626/effects-of-oxygenation-targets-on-mortality-in-critically-ill-patients-in-intensive-care-units-a-systematic-review-and-meta-analysis
#30
JOURNAL ARTICLE
Lei Cao, Qi Chen, Ying-Ying Xiang, Cheng Xiao, Yu-Ting Tan, Hong Li
BACKGROUND: The effects of oxygenation targets (partial pressure of arterial oxygen [Pao2], arterial oxygen saturation [Sao2]/peripheral oxygen saturation [Spo2], or inspiratory oxygen concentration [Fio2] on clinical outcomes in critically ill patients remains controversial. We reviewed the existing literature to assess the effects of lower and higher oxygenation targets on the mortality rates of critically ill intensive care unit (ICU) patients. METHODS: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, and Web of Science databases were searched from their dates of inception to December 31, 2022, for randomized controlled trials (RCTs) comparing lower and higher oxygenation targets for critically ill patients ≥18 years of age undergoing mechanical ventilation, nasal cannula, oxygen mask, or high-flow oxygen therapy in the ICU...
February 5, 2024: Anesthesia and Analgesia
https://read.qxmd.com/read/38309965/-clinical-research-progress-in-non-invasive-positive-pressure-ventilation-in-2023
#31
JOURNAL ARTICLE
S S Zha, Z F He, L L Guan, J Y Niu, Q Y Huang, R C Chen
Non-invasive positive pressure ventilation (NPPV) is a widely used method of providing respiratory support in a variety of clinical settings, including emergency departments, general wards, and intensive care units. The relevant research articles on NPPV published between 1st October 2022 and 30th September 2023 were retrieved from Medline and reviewed. In the management of acute respiratory failure (ARF) associated with COVID-19, studies have highlighted the significant influence of regional economic status on the choice of respiratory support strategies...
February 12, 2024: Chinese Journal of Tuberculosis and Respiratory Diseases
https://read.qxmd.com/read/38306070/impact-of-different-oxygen-therapy-strategies-on-the-risk-of-endotracheal-reintubation-in-mechanically-ventilated-patients-a-systematic-review-and-meta-analysis
#32
REVIEW
Wenhong Wang, Zhenbo Zhang, Fenbo Xia
BACKGROUND: Mechanical ventilation (MV) is a crucial intervention for the support of patients with acute and severe respiratory failure in modern intensive care medicine. However, the mechanical forces resulting from the interplay between the ventilator and the respiratory system may cause pulmonary injury. OBJECTIVE: To compare the effects of high-flow nasal cannula (HFNC) therapy and other oxygen therapy modalities on the risk of endotracheal reintubation in mechanically ventilated patients after extubation in the intensive care unit (ICU)...
January 25, 2024: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://read.qxmd.com/read/38292922/randomized-controlled-trial-investigating-the-impact-of-high-flow-nasal-cannula-oxygen-therapy-on-patients-undergoing-robotic-assisted-laparoscopic-rectal-cancer-surgery-with-a-post-extubation-atelectasis-as-a-complication
#33
JOURNAL ARTICLE
Long Sun, Jing Wang, Pan Wei, Wen-Qing Ruan, Jun Guo, Zhi-Yu Yin, Xing Li, Jian-Gang Song
BACKGROUND: Utilizing high-flow nasal cannula (HFNC) oxygen therapy may prevent the collapse of alveoli and improve overall alveolar ventilation. In this study, we aimed to investigate the impact of HFNC on postoperative atelectasis in individuals undergoing robotic-assisted laparoscopic surgery. METHODS: Patients undergoing robotic-assisted laparoscopic surgery for rectal cancer were randomly assigned to the control or HFNC groups. After the surgical procedure was complete and the trachea was extubated, both groups underwent an initial lung ultrasound (LUS) scan...
2024: Journal of Multidisciplinary Healthcare
https://read.qxmd.com/read/38286417/-prognostic-factors-in-an-individualised-approach-to-non-pharmacological-therapy-of-covid-19-from-oxygen-and-mechanical-ventilation-to-extracorporeal-membrane-oxygenation
#34
JOURNAL ARTICLE
Sandhya Matthes, Johannes Holl, Johannes Randerath, Marcel Treml, Georgios Sofianos, Michael Bockover, Ulrike Oesterlee, Simon Herkenrath, Johannes Knoch, Lars Hagmeyer, Winfried Randerath
BACKGROUND: Our centre followed a stepwise approach in the nonpharmacological treatment of respiratory failure in COVID-19 in accordance with German national guidelines, escalating non-invasive measures before invasive mechanical ventilation (IMV) or extracorporeal membrane oxygenation (ECMO). The aim of this study was to analyse this individualized approach to non-pharmacologic therapy in terms of patient characteristics and clinical features that may help predict more severe disease, particularly the need for intensive care...
January 29, 2024: Pneumologie
https://read.qxmd.com/read/38278127/oxygen-debt-as-a-predictor-of-high-flow-nasal-cannula-therapy-failure-in-sars-cov-2-patients-with-acute-respiratory-failure-a-retrospective-cohort-study
#35
JOURNAL ARTICLE
Perez-Garzon Michel, Poveda-Henao Claudia, Rozo-Salinas Andrea, Diaz-Ardila Maria, Robayo-Amortegui Henry
BACKGROUND: Severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) is known for its rapid progression to acute hypoxemic respiratory failure (AHRF). The increased use of oxygen therapy during the pandemic and the progression of AHRF have highlighted the need to promptly determine the need for orotracheal intubation (OTI). OBJETIVE: To determine the validity of quantitative measurement of oxygen debt (DEOx) according to arterial gases compared to the use of iROX in patients with high-flow nasal cannula (HFNC) therapy requirement, presenting with acute respiratory failure as a consequence of SARS-CoV-2 infection...
January 24, 2024: Heart & Lung: the Journal of Critical Care
https://read.qxmd.com/read/38271942/physiological-effect-of-high-flow-oxygen-therapy-measured-by-electrical-impedance-tomography-in-single-lung-transplantation
#36
Ignacio Fernández Ceballos, Emilio Steinberg, Joaquin Ems, Juan Martín Nuñez Silveira, Matías Madorno, Indalecio Carboni Bisso, Marcos Las Heras, Rodrigo Cornejo
In patients with chronic obstructive pulmonary disease (COPD), single lung transplantation (SLT) is sometimes performed as an alternative to bilateral lung transplantation due to limited organ availability. However, the postoperative management of SLT presents challenges, including complications related to the distinct compliance of each lung. This case report presents the case of a 65-year-old male patient who underwent SLT and was in the weaning period from mechanical ventilation. High-flow oxygen therapy (HFOT) was administered, and the physiological effects were measured using electrical impedance tomography (EIT)...
2024: Medicina
https://read.qxmd.com/read/38249858/effect-of-high-flow-nasal-cannula-oxygen-therapy-in-combination-with-non-invasive-ventilation-on-critically-ill-patients-with-acute-respiratory-failure-a-retrospective-study
#37
JOURNAL ARTICLE
Zhiping Xu, Lingxia Zhu, Jingye Zhan, Hui Feng, Cristian Deana, Luigi Vetrugno, Lijun Liu, Juan Lu
BACKGROUND: Acute respiratory failure (ARF) is a respiratory disease in which ventilation dysfunction of the lungs occurs at rest due to various factors, resulting in oxygen deprivation and carbon dioxide (CO2 ) retention. In recent years, high-flow nasal cannula (HFNC), as a new type of oxygen therapy, has attracted increasing attention. Compared with traditional oxygen therapy, HFNC adopts nasal catheter to make it more in line with the physiological and respiratory characteristics of the human body, and thus can provide a higher and more constant inhalation of oxygen...
December 30, 2023: Journal of Thoracic Disease
https://read.qxmd.com/read/38249244/apneic-oxygenation-a-summarized-review-and-stepwise-approach
#38
REVIEW
Mohamed Fayed, Wissam Maroun, Nimesh Patel, Dragos Galusca
Apneic oxygenation is a technique used during airway management procedures to maintain oxygenation and prevent desaturation during a lack of ventilation. Despite its importance, there is a lack of comprehensive information on how to achieve effective apneic oxygenation, leading to misunderstandings and suboptimal utilization of this technique. Apneic oxygenation involves several key steps. Firstly, patient selection is crucial, considering factors such as anticipated difficulty with airway management, reduced functional residual capacity, increased oxygen consumption, and medical conditions associated with impaired oxygenation...
December 2023: Curēus
https://read.qxmd.com/read/38242357/intraoperative-high-flow-oxygen-therapy-for-tubeless-anaesthesia-in-thoracoscopic-surgery
#39
Rocio Mato-Bua, David Lopez-Lopez, Alejandro Garcia-Perez, Cesar Bonome
Tubeless anaesthesia has become widespread in videothoracoscopic surgery, even in major procedures such as lobectomies. There are several advantages in avoiding general anaesthesia and one-lung mechanical ventilation, such as faster recovery and shorter hospital stays. However, hypoxaemia and hypercapnia are the most reported causes of conversion to general anaesthesia. High Flow Oxygen Therapy (HFOT) generates flow-dependent positive end-expiratory pressure, improves oxygenation and also carbon dioxide washout by flow-dependent dead space flushing...
January 17, 2024: Revista española de anestesiología y reanimación
https://read.qxmd.com/read/38230522/comparison-between-high-flow-nasal-cannula-and-conventional-oxygen-therapy-in-covid-19-patients-a-systematic-review-and-meta-analysis
#40
JOURNAL ARTICLE
Jian-Chao Wang, Yun Peng, Bing Dai, Hai-Jia Hou, Hong-Wen Zhao, Wei Wang, Wei Tan
BACKGROUND: High-flow nasal cannula (HFNC) and conventional oxygen therapy (COT) are important respiratory support strategies for acute hypoxemic respiratory failure (AHRF) in coronavirus disease 2019 (COVID-19) patients. However, the results are conflicting for the risk of intubation with HFNC as compared to COT. OBJECTIVES: We systematically synthesized the outcomes of HFNC relative to COT in COVID-19 patients with AHRF and evaluated these outcomes in relevant subpopulations...
2024: Therapeutic Advances in Respiratory Disease
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