scholarly journals Approaching to High Flow Oxygen Therapy Concepts: Venturi Mask Vshigh Flow Nasal Cannula

2017 ◽  
Vol 3 (1) ◽  
Author(s):  
García G
2017 ◽  
Vol 69 (11) ◽  
pp. 791
Author(s):  
Min Gyu Kang ◽  
Hyun Woong Park ◽  
Jin-Sin Koh ◽  
Seok-Jae Hwang ◽  
Jin-Yong Hwang ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Umberto Lucangelo ◽  
Fabio Giuseppe Vassallo ◽  
Emanuele Marras ◽  
Massimo Ferluga ◽  
Elena Beziza ◽  
...  

During bronchoscopy hypoxemia is commonly found and oxygen supply can be delivered by interfaces fed with high gas flows. Recently, the high-flow nasal cannula (HFNC) has been introduced for oxygen therapy in adults, but they have not been used so far during bronchoscopy in adults. Forty-five patients were randomly assigned to 3 groups receiving oxygen: 40 L/min through a Venturi mask (V40,N=15), nasal cannula (N40,N=15), and 60 L/min through a nasal cannula (N60,N=15) during bronchoscopy. Gas exchange and circulatory variables were sampled before (FiO2= 0.21), at the end of bronchoscopy (FiO2= 0.5), and thereafter (V40, FiO2= 0.35). In 8 healthy volunteers oxygen was randomly delivered according to V40, N40, and N60 settings, and airway pressure was measured. At the end of bronchoscopy, N60 presented higher PaO2, PaO2/FiO2, and SpO2than V40 and N40 that did not differ between them. In the volunteers (N60) median airway pressure amounted to 3.6 cmH2O. Under a flow rate of 40 L/min both the Venturi mask and HFNC behaved similarly, but nasal cannula associated with a 60 L/min flow produced the better results, thus indicating its use in mild respiratory dysfunctions.


2016 ◽  
Vol 22 (5) ◽  
pp. 292-293
Author(s):  
P. Demelo-Rodríguez ◽  
M. Olmedo Samperio ◽  
D.G. Gaitán Tocora ◽  
J.C. Cano Ballesteros ◽  
J. del Toro Cervera ◽  
...  

2019 ◽  
Vol 11 (2) ◽  
pp. 410-417 ◽  
Author(s):  
Min Gyu Kang ◽  
Kyehwan Kim ◽  
Sunmi Ju ◽  
Hyun Woong Park ◽  
Seung Jun Lee ◽  
...  

2019 ◽  
Vol 11 (3) ◽  
pp. E65-E65
Author(s):  
Min Gyu Kang ◽  
Kyehwan Kim ◽  
Sunmi Ju ◽  
Hyun Woong Park ◽  
Seung Jun Lee ◽  
...  

2020 ◽  
Vol 5 (4) ◽  
pp. 1006-1010
Author(s):  
Jennifer Raminick ◽  
Hema Desai

Purpose Infants hospitalized for an acute respiratory illness often require the use of noninvasive respiratory support during the initial stage to improve their breathing. High flow oxygen therapy (HFOT) is becoming a more popular means of noninvasive respiratory support, often used to treat respiratory syncytial virus/bronchiolitis. These infants present with tachypnea and coughing, resulting in difficulties in coordinating sucking and swallowing. However, they are often allowed to feed orally despite having high respiratory rate, increased work of breathing and on HFOT, placing them at risk for aspiration. Feeding therapists who work with these infants have raised concerns that HFOT creates an additional risk factor for swallowing dysfunction, especially with infants who have compromised airways or other comorbidities. There is emerging literature concluding changes in pharyngeal pressures with HFOT, as well as aspiration in preterm neonates who are on nasal continuous positive airway pressure. However, there is no existing research exploring the effect of HFOT on swallowing in infants with acute respiratory illness. This discussion will present findings from literature on HFOT, oral feeding in the acutely ill infant population, and present clinical practice guidelines for safe feeding during critical care admission for acute respiratory illness. Conclusion Guidelines for safety of oral feeds for infants with acute respiratory illness on HFOT do not exist. However, providers and parents continue to want to provide oral feeds despite clinical signs of respiratory distress and coughing. To address this challenge, we initiated a process change to use clinical bedside evaluation and a “cross-systems approach” to provide recommendations for safer oral feeds while on HFOT as the infant is recovering from illness. Use of standardized feeding evaluation and protocol have improved consistency of practice within our department. However, further research is still necessary to develop clinical practice guidelines for safe oral feeding for infants on HFOT.


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