High flow nasal cannula in the emergency department: indications, safety  and effectiveness.

Abstract:

INTRODUCTION:Heated humidified high flow nasal cannula therapy (HHHFNCT) is emerging as a popular non-invasive mode of respiratory support in adults and children. In recent years, its use has extended beyond the intensive care unit to other clinical areas. This review aims to explore the mechanism of action, indications, safety, and effectiveness of HHHFNCT use in the Emergency Department (ED). AREAS COVERED:The mechanism of action of HHHFNCT, as well as its use in adult and pediatric ED will be discussed in this review. EXPERT COMMENTARY:While there exists increasing enthusiasm in the use of HHHFNCT in the ED, constant monitoring of the patients and an experienced assessment of their response to treatment are critical and may require additional manpower deployment, which may be challenging, in the busy ED environment. Our experience with the use of HHHFNCT in children is still growing. Continual research in this area remains crucial in helping us better understand the patient types and conditions managed in ED that would most benefit from this device.

journal_name

Expert Rev Med Devices

authors

Wang J,Lee KP,Chong SL,Loi M,Lee JH

doi

10.1080/17434440.2018.1548276

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

929-935

issue

12

eissn

1743-4440

issn

1745-2422

journal_volume

15

pub_type

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