Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 25 , ISSUE 2 ( February, 2021 ) > List of Articles

CASE SERIES

High-flow Tracheal Oxygenation: A New Tool for Difficult Weaning

Lakshman Ramachandran, Onkar K Jha, Mrinal Sircar

Keywords : High-flow tracheal oxygenation, Prolonged mechanical ventilation, Weaning

Citation Information : Ramachandran L, Jha OK, Sircar M. High-flow Tracheal Oxygenation: A New Tool for Difficult Weaning. Indian J Crit Care Med 2021; 25 (2):224-227.

DOI: 10.5005/jp-journals-10071-23724

License: CC BY-NC 4.0

Published Online: 22-02-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

High-flow tracheal oxygenation (HFTO), a modification of high-flow nasal cannula (HFNC), has been used in tracheostomized patients but only rarely for weaning. We present two cases on prolonged mechanical ventilation (PMV) where HFTO assisted weaning.


PDF Share
  1. MacIntyre NR, Epstein SK, Carson S, Scheinhorn D, Christopher K, Muldoon S, et al. Management of patients requiring prolonged mechanical ventilation: report of a NAMDRC consensus conference. Chest 2005;128(6):3937–3954. DOI: 10.1378/chest.128.6.3937.
  2. Nishimura M. High-flow nasal cannula oxygen therapy in adults. J Intensive Care 2015;3(1):15. eCollection 2015. DOI: 10.1186/s40560-015-0084-5.
  3. Salah B, Dinh Xuan AT, Fouilladieu JL, Lockhart A, Regnard J. Nasal mucociliary transport in healthy subjects is slower when breathing dry air. Eur Respir J 1988;1(9):852–855.
  4. Parke R, McGuinness S, Eccleston M. Nasal high-flow therapy delivers low level positive airway pressure. Br J Anaesth 2009;103(6):886–890. DOI: 10.1093/bja/aep280.
  5. Frizzola M, Miller TL, Rodriguez ME, Zhu Y, Rojas J, Hesek A, et al. High-flow nasal cannula: impact on oxygenation and ventilation in an acute lung injury model. Pediatr Pulmonol 2011;46(1):67–74. DOI: 10.1002/ppul.21326.
  6. Maury E, Alves M, Bige N. High-flow nasal cannula oxygen therapy: more than a higher amount of oxygen delivery. J Thorac Dis 2016;8(10):E1296–E1300. DOI: 10.21037/jtd.2016.10.86.
  7. Sztrymf B, Messika J, Mayot T, Lenglet H, Dreyfuss D, Ricard JD. Impact of high-flow nasal cannula oxygen therapy on intensive care unit patients with acute respiratory failure: a prospective observational study. J Crit Care 2012;27(3):324.e9–324.e13. DOI: 10.1016/j.jcrc.2011. 07.075.
  8. Hernandez G, Vaquero C, Gonzalez P, Subira C, Frutos-Vivar F, Rialp G, et al. Effect of postextubation high-flow nasal cannula vs conventional oxygen therapy on reintubation in low-risk patients: a randomized clinical trial. JAMA 2016;315(13):1354–1361. DOI: 10.1001/jama.2016.2711.
  9. Hernandez G, Vaquero C, Colinas L, Cuena R, Gonzalez P, Canabal A, et al. Effect of postextubation high-flow nasal cannula vs conventional oxygen therapy on reintubation in high-risk patients: a randomized clinical trial. JAMA 2016;316(15):1565–1574. DOI: 10.1001/jama.2016.14194.
  10. Shioji N, Kanazawa T, Iwasaki T, Shimizu K, Suemori T, Kuroe Y, et al. High-flow nasal cannula versus noninvasive ventilation for postextubation acute respiratory failure after pediatric cardiac surgery. Acta Med Okayama 2019;73(1):15–20. DOI: 10.18926/AMO/56454.
  11. Schwabbauer N, Berg B, Blumenstock G, Haap M, Hetzel J, Riessen R. Nasal high-flow oxygen therapy in patients with hypoxic respiratory failure: effect on functional and subjective respiratory parameters compared to conventional oxygen therapy and non-invasive ventilation (NIV). BMC Anesthesiol 2014;14:66. eCollection 2014. DOI: 10.1186/1471-2253-14-66.
  12. Stripoli T, Spadaro S, Di Mussi R, Volta CA, Trerotoli P, De Carlo F, et al. High-flow oxygen therapy in tracheostomized patients at high risk of weaning failure. Ann Intensive Care 2019;9(1):4. DOI: 10.1186/s13613-019-0482-2.
  13. Natalini D, Grieco DL, Santantonio MT, Mincione L, Toni F, Anzellotti GM, et al. Physiological effects of high-flow oxygen in tracheostomized patients. Ann Intensive Care 2019;9(1):114. DOI: 10.1186/s13613-019-0591-y.
  14. Chikata Y, Oto J, Onodera M, Nishimura M. Humidification performance of humidifying devices for tracheostomized patients with spontaneous breathing: a bench study. Respir Care 2013;58(9):1442–1448. DOI: 10.4187/respcare.02093.
  15. Corley A, Edwards M, Spooner AJ, Dunster KR, Anstey C, Fraser JF. High-flow oxygen via tracheostomy improves oxygenation in patients weaning from mechanical ventilation: a randomised crossover study. Intensive Care Med 2017;43(3):465–467. DOI: 10.1007/s00134-016-4634-7.
  16. Mitaka C, Odoh M, Satoh D, Hashiguchi T, Inada E. High-flow oxygen via tracheostomy facilitates weaning from prolonged mechanical ventilation in patients with restrictive pulmonary dysfunction: two case reports. J Med Case Rep 2018;12(1):292. DOI: 10.1186/s13256-018-1832-7.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.