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Can a high-flow nasal cannula substitute for noninvasive positive pressure ventilation in post-extubation respiratory failure?

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초록

Administration of supplemental oxygen is the first-line therapy for hypoxemic patients. Supplemental oxygen therapy is one of the most commonly used medical interventions, and is indicated when hypoxemia is suspected by history or physical examination or is documented by laboratory data. Oxygen may be delivered using low- or highflow devices. Low-flow devices, such as a nasal oxygen catheter, nasal cannula, or simple oxygen mask, deliver varying levels of inspiratory fraction of oxygen (FIO2), depending on the patient’s breathing pattern, peak inspiratory flow rate, tidal volume, and inspiratory time. Conventional high-flow devices, such as a Venturi mask or air-entrainment nebulizer, provide a more constant FIO2 than the low-flow devices, through steady entrainment of room air using the Bernoulli effect. However, at high patient inspiratory flow rates, entrained room air dilutes the oxygen and lowers FIO2.

Abstract

Administration of supplemental oxygen is the first-line therapy for hypoxemic patients. Supplemental oxygen therapy is one of the most commonly used medical interventions, and is indicated when hypoxemia is suspected by history or physical examination or is documented by laboratory data. Oxygen may be delivered using low- or highflow devices. Low-flow devices, such as a nasal oxygen catheter, nasal cannula, or simple oxygen mask, deliver varying levels of inspiratory fraction of oxygen (FIO2), depending on the patient’s breathing pattern, peak inspiratory flow rate, tidal volume, and inspiratory time. Conventional high-flow devices, such as a Venturi mask or air-entrainment nebulizer, provide a more constant FIO2 than the low-flow devices, through steady entrainment of room air using the Bernoulli effect. However, at high patient inspiratory flow rates, entrained room air dilutes the oxygen and lowers FIO2.

참고문헌 (36)

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관련 논문AI추천

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