Satisfactory use of high flow nasal cannula in a patient with acute pulmonary embolism

D. Velasco-Álvarez, Javier Pozas Pérez, S. Díaz-Lobato
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引用次数: 1

Abstract

High Flow Nasal Cannula (HFNC) oxygen therapy is a recent technique that delivers a high flow of heated and humidified gas to the patient.1 Compared to noninvasive ventilation (NIV), HFNC has been proved to be an effective alternative treatment for acute respiratory failure. HFNC also has a significant number of physiological advantages compared with other commonly used oxygen-based therapies, including PEEP, reduced anatomical dead space, constant FiO2 and it is better tolerated than NIV. 2 After a thorough bibliographical research, only one article was found assessing the benefits of using HFNC in patients with acute pulmonary embolism.3 We present the case of an 86-year-old patient with acute pulmonary embolism and desaturation refractory to noninvasive ventilation that was successfully treated with high flow therapy.
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高流量鼻插管在急性肺栓塞患者中的满意应用
高流量鼻插管(HFNC)氧疗是一种向患者输送高流量加热和加湿气体的新技术与无创通气(NIV)相比,HFNC已被证明是急性呼吸衰竭的有效替代治疗方法。与其他常用的氧基疗法相比,HFNC在生理上也有显著的优势,包括PEEP、缩小解剖死腔、恒定FiO2,并且比NIV耐受性更好。经过全面的文献研究,只有一篇文章评估了使用HFNC治疗急性肺栓塞患者的益处我们报告一例86岁的急性肺栓塞和去饱和患者,无创通气难治性,经高流量治疗成功。
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