ICU SAQs · Respiratory / oxygen therapy
High-flow nasal cannula in pneumonia with hypoxaemic failure
A CICM SAQ on HFNC — the five mechanisms, FLORALI (pneumonia), the ROX index to judge success, and the bridge-not-destination principle.
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Prompt
A patient with severe pneumonia develops acute hypoxaemic respiratory failure. Outline the role of high-flow nasal cannula, its mechanisms of action, and how you would decide whether it is working.
Question
A patient with severe pneumonia develops acute hypoxaemic respiratory failure. Outline the role of high-flow nasal cannula, its mechanisms of action, and how you would decide whether it is working.
[1]References3ShowHide
- [1]Frat JP, Thille AW, Mercat A, et al. High-flow oxygen through nasal cannula in acute hypoxemic respiratory failure. New England Journal of Medicine, 2015.PMID 25981908
- [2]Roca O, Messika J, Caralt B, et al. Predicting success of high-flow nasal cannula in pneumonia: the ROX index. Journal of Critical Care, 2016.PMID 27481760
- [3]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.