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Title: Nasal high flow oxygen therapy during acute admissions or periods of worsening symptoms.
Austin Authors: Munsif, Maitri;McDonald, Christine F ;Goh, Nicole S L ;Smallwood, Natasha
Affiliation: Respiratory and Sleep Medicine
Institute for Breathing and Sleep
University of Melbourne Department of Respiratory Medicine
The Alfred Hospital Department of Immunology and Pathology, Central Clinical School, Alfred Centre, Monash University, Melbourne, Victoria, Australia
Issue Date: Dec-2021
Date: 2021-09-20
Publication information: Current Opinion in Supportive and Palliative Care 2021; 15(4): 205-213
Abstract: Nasal high flow therapy (NHF) is increasingly used in acute care settings. In this review, we consider recent advances in the utilization of NHF in chronic obstructive pulmonary disease (COPD), terminal cancer and symptom management. Considerations around NHF use during the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) pandemic are also discussed. NHF enables humidification and high flows to be provided together with titrated, supplemental oxygen therapy. Compared to conventional oxygen therapy, NHF improves respiratory physiology by reducing workload, enhancing muco-ciliary clearance and improving dead space washout. Some studies suggest that early use of NHF in people being cared for in the emergency department leads to lower rates of invasive ventilation and noninvasive ventilation. There is also emerging evidence for NHF use in people with COPD and chronic respiratory failure, and in palliative care. NHF is comfortable, well-tolerated and safe for use in the management of breathlessness in people with cancer. NHF can be delivered by face mask to patients with SARS-CoV-2 infection, to ease the burden on critical care resources. The evidence base for NHF is rapidly growing and offers promise in relieving troublesome symptoms and for people receiving palliative care.
DOI: 10.1097/SPC.0000000000000566
Journal: Current Opinion in Supportive and Palliative Care
PubMed URL: 34545856
Type: Journal Article
Appears in Collections:Journal articles

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