keyword
https://read.qxmd.com/read/38383357/comparison-of-high-flow-nasal-cannula-oxygenation-and-non-invasive-ventilation-for-postoperative-pediatric-cardiac-surgery-a-meta-analysis
#21
JOURNAL ARTICLE
Si-Jia Zhou, Xiu-Hua Chen, Ying-Ying Liu, Qiang Chen, Yi-Rong Zheng, Qi-Liang Zhang
OBJECTIVE: To evaluate the efficacy of high-flow nasal cannula oxygenation (HFNC) versus non-invasive ventilation (NIV) in pediatric patients post-congenital heart surgery (CHS) through a meta-analysis. METHODS: A comprehensive literature search was conducted across the Chinese biomedical literature database, Vip database, CNKI, Wanfang, PubMed, Embase, Cochrane Library, and Web of Science until December 20, 2022. We selected RCTs or cohort studies that met inclusion criteria for a meta-analysis using RevMan 5...
February 21, 2024: BMC Pulmonary Medicine
https://read.qxmd.com/read/38371128/high-flow-nasal-cannula-in-covid-19-patients-with-moderate-to-severe-respiratory-distress-a-retrospective-analysis
#22
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/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/38356803/effect-of-budesonide-glycopyrrolate-formoterol-fumarate-metered-dose-inhaler-combined-with-nasal-high-flow-nasal-cannula-on-elderly-patients-with-copd-and-respiratory-failure
#25
JOURNAL ARTICLE
Feiyan Hu, Feijing Lv
OBJECTIVE: To explore the clinical effect of budesonide/glycopyrrolate/formoterol fumarate metered dose inhaler (BGF MDI) combined with high-flow nasal cannula (HFNC) in the treatment of elderly patients with chronic obstructive pulmonary disease (COPD) and respiratory failure. METHODS: The clinical records of 94 elderly patients with COPD and respiratory failure who were treated in Yongkang First People's Hospital from February 2022 to January 2023 were retrospectively selected...
2024: Pakistan Journal of Medical Sciences Quarterly
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
#26
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/38353397/impact-of-initial-high-flow-nasal-cannula-flow-rates-on-clinical-outcomes-in-children-with-bronchiolitis
#27
JOURNAL ARTICLE
Nirupama Kannikeswaran, Robert R Ehrman, Priya Spencer, Chaya Pitman-Hunt, Jacqueline Leja, Karima Lelak, Rajan Arora, Amy Delaroche
PURPOSE: Our aim was to evaluate the impact of the initial high flow nasal cannula (HFNC) flow rate on clinical outcomes in children with bronchiolitis. METHODS: This secondary analysis of retrospective data included children <2 years who required HFNC for bronchiolitis between 10/01/2018-04/20/2019, and following implementation of a revised institutional bronchiolitis pathway between 10/01/2021-04/30/2022. The new pathway recommended weight-based initiation of HFNC at 1...
February 14, 2024: Pediatric Pulmonology
https://read.qxmd.com/read/38353344/assessment-of-swallowing-function-in-healthy-adults-while-using-high-flow-nasal-cannula
#28
JOURNAL ARTICLE
Alexander E Graf, Alla Mehl, Amelia De Costa, Richard M Rosenfeld, Sara Abu-Ghanem
OBJECTIVE: Despite widespread use of high flow nasal cannula (HFNC) for respiratory support, the effect of HFNC on swallowing physiology is poorly understood. Flow rates that permit safe swallowing have not been established. We aim to assess if healthy individuals have diminished swallowing function and safety at high flow rates. STUDY DESIGN: Repeated measures with planned data collection. SETTING: Outpatient dysphagia clinic. METHODS: Swallowing function in a cohort of healthy individuals was assessed using Flexible Endoscopic Evaluation of Swallowing (FEES)...
February 14, 2024: Otolaryngology—Head and Neck Surgery
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
#29
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
#30
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/38326253/understanding-the-use-and-outcomes-of-high-flow-nasal-cannula-among-infants-admitted-to-canadian-hospitals-with-bronchiolitis-canflo-a-protocol-for-a-multicentre-retrospective-cohort-study
#31
JOURNAL ARTICLE
Michelle D'Alessandro, Chiara Fricano, Farah Abdulsatar, Nicole Bechard, Jagraj Singh Brar, Olivier Drouin, Jessica L Foulds, Lucia Giglia, Peter J Gill, Ronish Gupta, Patricia Li, Jason McConnery, Jason Metcalf, Mahmoud Sakran, Claire Seaton, Anupam Sehgal, Natalie Sirizzotti, Lawrence Mbuagbaw, Gita Wahi
INTRODUCTION: Bronchiolitis is the most common viral lower respiratory tract infection in children under 2 years of age. Respiratory support with high-flow nasal cannula (HFNC) is increasingly used in this patient population with limited understanding of the patients most likely to benefit and considerable practice variability of use. This study aims to understand the factors associated with failure of HFNC support among patients with bronchiolitis and to describe the current practice variations of HFNC use in patients with bronchiolitis in Canadian hospitals including fluid management and parameters to initiate, escalate and discontinue HFNC support...
February 7, 2024: BMJ Open
https://read.qxmd.com/read/38320812/automatic-adjustment-of-oxygen-concentration-during-high-flow-nasal-cannula-treatment-using-a-targeted-spo2-feedback-system
#32
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/38309965/-clinical-research-progress-in-non-invasive-positive-pressure-ventilation-in-2023
#33
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
#34
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/38305069/can-the-rox-index-predict-high-flow-nasal-cannula-failure-in-children-under-2-with-lower-respiratory-tract-infection
#35
JOURNAL ARTICLE
Pablo Vasquez-Hoyos, Alvaro L Jacome-Orozco, Andrea P Rodriguez-Mayorga, Leidy E Sepulveda-Forero, Diana P Escobar-Serna, Juan S Barajas, Evelyn Obando-Belalcazar, Claudia M Salinas-Jaimes, Juan J Peralta-Palmezano, Alexandra Jimenez-Chavez, Rafael E Camacho-Jimenez, Jesus A Dominguez-Rojas
OBJECTIVE: This study evaluates the ROX index's accuracy in predicting the success or failure of high-flow nasal cannula (HFNC) therapy in children under 2 years with acute respiratory failure (ARF) from lower respiratory tract infections. METHODS: From January 2018 to 2021 we conducted this multicenter retrospective cohort study, which included patients aged 2-24 months. We aimed to assess HFNC therapy outcomes as either success or failure. The analysis covered patient demographics, diagnoses, vital signs, and ROX index values at intervals from 0 to 48 h after initiating HFNC...
February 2, 2024: Pediatric Pulmonology
https://read.qxmd.com/read/38303582/comparison-of-preoxygenation-with-a-high-flow-nasal-cannula-and-a-simple-face-mask-before-intubation-in-patients-with-head-and-neck-cancer
#36
JOURNAL ARTICLE
Jun-Young Jo, Jungpil Yoon, Heeyoon Jang, Wook-Jong Kim, Seungwoo Ku, Seong-Soo Choi
BACKGROUND: Although preoxygenation is an essential procedure for safe endotracheal intubation, in some cases securing sufficient time for tracheal intubation may not be possible. Patients with head and neck cancer might have a difficult airway and need a longer time for endotracheal intubation. We hypothesized that the extended apneic period with preoxygenation via a high-flow nasal cannula (HFNC) is beneficial to patients who undergo head and neck surgery compared with preoxygenation with a simple mask...
January 26, 2024: Acute and critical care
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
#37
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/38290751/noninvasive-respiratory-support-for-pediatric-critical-asthma-a-multicenter-cohort-study
#38
JOURNAL ARTICLE
Brett W Russi, Alexa R Roberts, Ignacio F Nievas, Colin M Rogerson, John M Morrison, Anthony A Sochet
BACKGROUND: Noninvasive respiratory support (NRS) for pediatric critical asthma includes CPAP; bi-level positive airway pressure (BPAP); and heated, humidified, high-flow nasal cannula (HFNC). We used the Virtual Pediatric System database to estimate NRS by prescribing rates for pediatric critical asthma and characterize patient clinical features and in-patient outcomes by the initial NRS device applied. METHODS: We performed a retrospective cohort study from 125 participating pediatric ICUs among children 2-17 years of age hospitalized for critical asthma and prescribed NRS from 2017 through 2021...
January 30, 2024: Respiratory Care
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
#39
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/38256332/stratification-of-covid-19-patients-with-moderate-to-severe-hypoxemic-respiratory-failure-for-response-to-high-flow-nasal-cannula-a-retrospective-observational-study
#40
JOURNAL ARTICLE
Gianluca Bagnato, Egidio Imbalzano, Carmelo Ioppolo, Daniela La Rosa, Marianna Chiappalone, Alberta De Gaetano, Valeria Viapiana, Natasha Irrera, Veronica Nassisi, Maria Concetta Tringali, Emanuele Balwinder Singh, Nicola Falcomatà, Vincenzo Russo, William Neal Roberts, Pierpaolo Di Micco, Antonio Giovanni Versace
Background and Objectives: In patients with COVID-19, high-flow nasal cannula (HFNC) and continuous positive airway pressure (CPAP) are widely applied as initial treatments for moderate-to-severe acute hypoxemic respiratory failure. The aim of the study was to assess which respiratory supports improve 28-day mortality and to identify a predictive index of treatment response. Materials and Methods: This is a single-center retrospective observational study including 159 consecutive adult patients with COVID-19 and moderate-to-severe hypoxemic acute respiratory failure...
December 29, 2023: Medicina
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