Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 25 , ISSUE 6 ( June, 2021 ) > List of Articles

CASE REPORT

High-flow Oxygen Therapy via Tracheostomy to Liberate COVID-19-induced ARDS from Invasive Ventilation: A Case Series

Sourabh Phadtare, Kiran Shetty

Citation Information : Phadtare S, Shetty K. High-flow Oxygen Therapy via Tracheostomy to Liberate COVID-19-induced ARDS from Invasive Ventilation: A Case Series. Indian J Crit Care Med 2021; 25 (6):724-728.

DOI: 10.5005/jp-journals-10071-23858

License: CC BY-NC 4.0

Published Online: 01-06-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Lung involvement with differing phenotypes characterizes COVID-19-induced acute respiratory distress syndrome (CARDS). The liberation of these patients from mechanical ventilation has been challenging. Excessive stress and strain following increased respiratory efforts spiral their vulnerable lung tissue into ventilator-induced lung injury vortex. The use of high-flow oxygen therapy via tracheostomy (HFOTTracheal)eases weaning process. As a safe option for both the patient and the healthcare workers, HFOTTracheal was successfully employed to wean two CARDS patients from the mechanical ventilator.


HTML PDF Share
  1. Marini JJ, Gattinoni L. Management of COVID-19 respiratory distress. JAMA2020;323(22):2329–2330. DOI: 10.1001/jama.2020.6825.
  2. Robba C, Battaglini D, Ball L, Patroniti N, Loconte M, Brunetti I, et al. Distinct phenotypes require distinct respiratory management strategies in severe COVID-19. Respir Physiol Neurobiol 2020;279:103455. DOI: 10.1016/j.resp.2020.103455.
  3. Wawrzeniak IC, Regina Rios Vieira S, Almeida Victorino J. Weaning from mechanical ventilation in ARDS: aspects to think about for better understanding, evaluation, and management.Biomed Res Int2018;2018:5423639. DOI: 10.1155/2018/5423639.
  4. Stripoli T, SpadaroS, DiMussiR, 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.
  5. 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.
  6. Tremblay LN, Slutsky AS. Ventilator-induced injury: from barotrauma to biotrauma. Proc Assoc Am Physicians 1998;110(6):482–488. PMID: 9824530
  7. Marini JJ, Gattinoni L. Time course of evolving ventilator-induced lung injury: the “Shrinking Baby Lung”. Crit Care Med 2020;48(8):1203–1209. DOI: 10.1097/CCM.0000000000004416.
  8. Marini JJ. How I optimize power to avoid VILI. Crit Care 2019;23(1):326. DOI: 10.1186/s13054-019-2638-8.
  9. Cressoni M, Chiurazzi C, Gotti M, Amini M, Brioni M, Algieri I,et al.Lung inhomogeneities and time course of ventilator-induced mechanical injuries. J Am Soc Anesthesiol 2015;123(3):618–627. DOI: 10.1097/ALN.0000000000000727.
  10. Yoshida T, Fujino Y, Amato MB, Kavanagh BP. Fifty years of research in ARDS: spontaneous breathing during mechanical ventilation: risks, mechanisms, and management. Am J Respir Crit Care Med 2017;195(8):985–992. DOI: 10.1164/rccm.201604-0748CP.
  11. Parke RL, McGuinness SP. Pressures delivered by nasal high flow oxygen during all phases of the respiratory cycle. Respir Care 2013;58(10):1621–1624. DOI: 10.4187/respcare.02358.
  12. Mauri T, Turrini C, Eronia N, Grasselli G, Volta CA, Bellani G, et al. Physiologic effects of high-flow nasal cannula in acute hypoxemic respiratory failure. Am J Respir Crit Care Med 2017;195(9):1207–1215. DOI: 10.1164/rccm.201605-0916OC.
  13. 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 randomized crossover study. Intensive Care Med 2017;43(3):465–467. DOI: 10.1007/s00134-016-4634-7.
  14. Ischaki E, Pantazopoulos I. “Blow with the high flow” an updated algorithm. J Emerg Crit Care Med 2019;3. DOI: 10.21037/jeccm.2019.10.03.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.