Current Practice of High Flow through Nasal Cannula in Exacerbated COPD Patients.
Chronic Obstructive Pulmonary Disease
high flow nasal cannula
hypercapnia
non-invasive ventilation
oxygen
positive-pressure respiration
respiratory insufficiency
respiratory therapy
Journal
Healthcare (Basel, Switzerland)
ISSN: 2227-9032
Titre abrégé: Healthcare (Basel)
Pays: Switzerland
ID NLM: 101666525
Informations de publication
Date de publication:
15 Mar 2022
15 Mar 2022
Historique:
received:
21
02
2022
revised:
14
03
2022
accepted:
14
03
2022
entrez:
25
3
2022
pubmed:
26
3
2022
medline:
26
3
2022
Statut:
epublish
Résumé
Acute Exacerbation of Chronic Obstructive Pulmonary Disease is a form of severe Acute Respiratory Failure (ARF) requiring Conventional Oxygen Therapy (COT) in the case of absence of acidosis or the application of Non-Invasive Ventilation (NIV) in case of respiratory acidosis. In the last decade, High Flow through Nasal Cannula (HFNC) has been increasingly used, mainly in patients with hypoxemic ARF. However, some studies were also published in AECOPD patients, and some evidence emerged. In this review, after describing the mechanism underlying potential clinical benefits, we analyzed the possible clinical application of HFNC to AECOPD patients. In the case of respiratory acidosis, the gold-standard treatment remains NIV, supported by strong evidence in favor. However, HFNC may be considered as an alternative to NIV if the latter fails for intolerance. HFNC should also be considered and preferred to COT at NIV breaks and weaning. Finally, HFNC should also be preferred to COT as first-line oxygen treatment in AECOPD patients without respiratory acidosis.
Identifiants
pubmed: 35327014
pii: healthcare10030536
doi: 10.3390/healthcare10030536
pmc: PMC8954797
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
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