Answers :
High-flow nasal cannula (HFNC)
therapy
- High-flow nasal cannula
(HFNC) therapy is an oxygen supply system capable of delivering up
to 100% humidified and heated oxygen at a flow rate of up to 60
liters per minute. All settings are controlled independently
allowing for greater confidence in the delivery of supplemental
oxygen as well as better outcomes when used.
Fio2 on high flow nasal cannula.
- Heat
and humidified high flow nasal cannula or as most
call it, Hi Flow Nasal Cannula
(HFNC), isn't just a standard nasal
cannula cranked up to very high flow
rates.
- It
actually takes gas and can heat it to 37 o C with a 100%
relative humidity and can deliver 0.21 – 1.00% fi02 at
flow rates of up to 60 liters/min.
What type of patient uses high-flow oxygen
therapy
- High-flow oxygen
delivery has been clinically utilized in a wide spectrum of patient
care arenas. It has been administered to patient populations in
critical care units, emergency departments, and end-of-life
scenarios, and recently has migrated into the home care
environment.
- In a
recent study conducted by Peters et al, it was demonstrated that
patients who would have been treated via NIV were successfully
maintained with HFO
- humidified HFNC oxygen
therapy can provide adequate oxygenation for many patients with
hypoxemic respiratory failure, and may be an alternative to
NIV for patients who decline intubation.
- The
majority of patients who were placed on HFO were placed on it for
oxygenation end-point. A small number were administered HFO to
combat increased work of breathing and to enhance secretion
removal.
- Based
on the clinical evidence, the utilization of HFO therapy in
appropriate patients can improve oxygenation and can decrease the
patient’s work of breathing without the need for noninvasive or
invasive ventilation.