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Colegio de Medicina Interna de México.

2024, Number 8

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Med Int Mex 2024; 40 (8)

High flow nasal cannula: current uses, what does the evidence say?

Velarde PAA, Bernal TLA, Nubert CVH, Cañas PNR, Herrera IJA, Rivera AM

Language: Spanish
References: 78
Page: 488-515
PDF size: 400.65 Kb.


ABSTRACT

Objective: To review the literature on the different indications and recommendations for high-flow therapy in the hospital and at home.
Materials and Methods: Retrospective study based on a review of articles published in English or Spanish and indexed in the published in English or Spanish and indexed in PubMed, SciELO and Medline databases, with MeSH: oxygen; high flow; respiratory failure; nasal cannula; hypoxaemia and ROX index.
Results: Seventy-eight articles were identified. The main indication for high flow therapy was found in patients with hypoxemic respiratory failure, mainly with PaO2/ FiO2 less than 200 mmHg, where it was shown to reduce the risk of intubation, days on mechanical ventilation and the risk of associated infectious complications. It currently has other indications of clinical importance.
Conclusions: High flow therapy has been shown to be effective in the treatment of inpatients and outpatients with hypoxemic and hypercapnic respiratory failure. Since it is a strategy that avoids escalation of oxygen treatments, the earlier it is indicated, the greater the benefits it will bring to the clinical evolution of the patient.


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