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A Systematic Review of the High-flow Nasal Cannula for Adult Patients

  • Y. Helviz
  • S. Einav
Part of the Annual Update in Intensive Care and Emergency Medicine book series (AUICEM)

Introduction

Awareness of the potential damage associated with the use of invasive ventilation (e.g., ventilator‐associated pneumonia [VAP], excessive pulmonary stress and strain) and increasing sophistication in patient‐ventilator interfaces have led to development of several interesting new modes of delivering non‐invasive ventilation (NIV), not least of which is the high‐flow nasal cannula (HFNC).

The HFNC was first developed for use in neonates. Although many adult patients found the use of a close‐fitting mask not particularly tolerable, the most common issue in the adult population usually remained clearance of airway secretions [1]. In the neonatal population however, severe pressure sores became a major concern with the use of a tight face mask [2]. The HFNC was thus originally developed with the intention of maintaining the benefit of high oxygen flows (and thus the increased end-expiratory pulmonary pressures) without compromising blood flow to skin areas susceptible...

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.The Intensive Care Unit of the Shaare Zedek Medical CentreJerusalemIsrael
  2. 2.The Faculty of Medicine of the Hebrew UniversityJerusalemIsrael

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