Document Detail

The high flow nasal oxygen in acute respiratory failure.
MedLine Citation:
PMID:  22531566     Owner:  NLM     Status:  Publisher    
Use of high flow nasal cannula oxygen (HFNC) is increasingly popular in adult ICUs for patients with acute hypoxemic respiratory failure. This is the result of the successful long-term use of HFNC in the neonatal field and recent clinical data in adults indicating beneficial effects of HFNC over conventional facemask oxygen therapy. HFNC rapidly alleviates symptoms of respiratory distress and improves oxygenation by several mechanisms, including deadspace washout, reduction in oxygen dilution and in inspiratory nasopharyngeal resistance, a moderate positive airway pressure effect that may generate alveolar recruitment and an overall greater tolerance and comfort with the interface and the heated and humidified inspired gases. Indications of HFNC are broad, encompassing most if not all causes of acute hypoxemic respiratory failure. HFNC can also provide oxygen during invasive procedures, and be used to prevent or treat post-extubation respiratory failure. HFNC may also alleviate respiratory distress in patients at a palliative stage. Although observational studies suggest that HFNC might reduce the need for intubation in acute hypoxemic respiratory failure; such a reduction has not yet been demonstrated. Beyond this potential additional effect on outcome, the evidence already published argues in favor of the large use of HFNC as first line therapy for acute respiratory failure.
J D Ricard
Related Documents :
11508706 - Blood pressure, serum cholesterol concentration and their related factors in urban and ...
1089446 - Effect of different doses of chlorthalidone on blood pressure, serum potassium, and ser...
22540726 - Temperature-pressure scaling for air-fluidized grains near jamming.
22668026 - Effect of estradiol on the expression of renal sodium transporters in rats.
15260316 - Co2 emission benefit of diesel (versus gasoline) powered vehicles.
6386486 - Penbutolol and molsidomine synergism in angina pectoris. a double blind ergometric trial.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-24
Journal Detail:
Title:  Minerva anestesiologica     Volume:  -     ISSN:  1827-1596     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-4-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375272     Medline TA:  Minerva Anestesiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Service de Réanimation Médico-chirurgicale, Hôpital Louis Mourier, Colombes, France -
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Ascites characterizes perioperative clinical indices better than preoperative body mass index. A stu...
Next Document:  Transcutaneous electrical nerve stimulation on acupoints reduces fentanyl requirement for postoperat...