High flow nasal cannula: The importance of patient selection and monitoring

The authors raise several important considerations with the use of high flow nasal cannula (HFNC), including the risk of delayed intubation and higher mortality, strategies for predicting failure, and need for close monitoring. After a patient is placed on HFNC, clinicians should closely evaluate he...

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Published inThe American journal of emergency medicine Vol. 57; pp. 185 - 186
Main Authors Long, Brit, Liang, Stephen Y., Lentz, Skyler
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.07.2022
Elsevier Limited
Subjects
Blood pressure
Cannula
Chronic obstructive pulmonary disease
Coronaviruses
COVID-19
Decision making
Emergency medical care
Heart rate
Humans
Intubation
Mortality
Noninvasive Ventilation
Oxygen Inhalation Therapy
Oxygenation
Patient Selection
Patients
Respiration
Ventilation
United States > US
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Summary:The authors raise several important considerations with the use of high flow nasal cannula (HFNC), including the risk of delayed intubation and higher mortality, strategies for predicting failure, and need for close monitoring. After a patient is placed on HFNC, clinicians should closely evaluate hemodynamic status (heart rate, blood pressure), respiratory rate, and oxygenation status. Laboratory values and clinical scores should never replace bedside clinical decision-making, but rather be used to supplement these decisions at the bedside when considering the need for escalation of respiratory support.Meetings None.Grants/financial support None.Acknowledgements BL, SYL, and SL conceived the idea for this manuscript and contributed substantially to the writing and editing of the review.
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
ObjectType-Commentary-2
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2021.12.047