Uso de cánula nasal de alto flujo en falla respiratoria en adultos

Uso de cánula nasal de alto flujo en falla respiratoria en adultos

Introducción. La oxigenoterapia brinda un gran número de beneficios para aquellos pacientes que presentan enfermedades cardiorrespiratorias, mejora procesos fundamentales como ventilación,  oxigenación y perfusión clínica. El objetivo de esta revisión de tema es analizar la evidencia de la literatura relacionada con la utilidad y uso de la cánula nasal de alto flujo, en pacientes adultos bajo cuidado intensivo, con falla respiratoria. Materiales y métodos. Se realizó una revisión bibliográfica de 100 artículos publicados en las bases de datos Science Direct, Scopus, Ovid, Medline, Proquest y Cochrane, durante una ventana de tiempo compren... Ver más

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Revista Investigación en Salud Universidad de Boyacá

2389-7325

2539-2018

Silva Rodriguez, Laura Jimena

Suárez Saavedra, Magda Tixiana

Palencia Mojica, Clara Lizeth

Umbacía Salas, Flor Angela

Valero Ortiz, Adriana

UNIVERSIDAD DE BOYACÁ

10.24267/23897325.406

6

2019-01-11

170

187

Colombia

cánula nasal

cuidado intensivo

oxigenoterapia

fallo respiratorio

http://purl.org/coar/access_right/c_abf2

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Revista Investigación en Salud Universidad de Boyacá - 2019

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spelling Uso de cánula nasal de alto flujo en falla respiratoria en adultos
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Maggiore SM, Idone FA, Vaschetto R, Festa R, Cataldo A, Antonicellli F, et al. Nasal high-flow versus Venturi mask oxygen therapy after extubation. Effects on oxygenation, comfort, and clinical outcome. Am J Respir Crit Care Med. 2014;190(3):282-8. https://doi.org/10.1164/rccm.201402-0364OC
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Sotello D, Orellana M, Rivas AM, Nugent K. High Flow Nasal Cannulas for Oxygenation: An Audit of Its Use in a Tertiary Care Hospital. Am J Med Sci 2015. https://doi.org/10.1097/MAJ.0000000000000557
Parke RL, McGuinness SP, Eccleston ML. A preliminary randomized controlled trial to assess effectiveness of nasal high-flow oxygen in intensive care patients. Respir Care 2011; 56(3):265-270. https://doi.org/10.4187/respcare.00801
Corley A, Caruana LR, Barnett AG, Tronstad O, Fraser JF. Oxygen delivery through high-flow nasal cannulae increase end-expiratory lung volume and reduce respiratory rate in post-cardiac surgical patients. Br J Anaesth. 2011;107(6):998-1004. https://doi.org/10.1093/bja/aer265
Roca O, Messika J, Caral B, García de Acilu M, Sztrymf B, Ricard JD, et al. Predicting success of high-flow nasal cannula in pneumonia patients with hypoxemic respiratory failure: the utility of the RX index. J Crit Care. 2016;35:200–5. https://doi.org/10.1016/j.jcrc.2016.05.022
Nagata K, Morimoto T, Fujimoto D, Otoshi T, Nakagawa A, Otsuka K, et al. Efficacy of high-flow nasal cannula therapy in acute hypoxemic respiratory failure: decreased use of mechanical ventilation. Respir Care. 2015;60(10):1390–1396. https://doi.org/10.4187/respcare.04026
Vargas F, Saint-Leger M, Boyer A, Bui NH, Hilbert G. Physiologic effects of high-flow nasal cannula oxygen in critical care subjects. Respir Care. 2015;60(10):1369–1376. https://doi.org/10.4187/respcare.03814
Cuquemelle E, Pham T, Papon JF, Louis B, Danin PE, Brochard L. Heated and humidified high-flow oxygen therapy reduces discomfort during hypoxemic respiratory failure. Respir Care. 2012;57(10):1571–1577. https://doi. org/10.4187/respcare.01681
Coudroy R, Jamet A, Petua P, Robert R, Frat JP, Thille AW. High-flow nasal cannula oxygen therapy versus noninvasive ventilation in immunocompromised patients with acute respiratory failure: an observational cohort study. Ann Intensive Care. 2016;6:45. https://doi.org/10.1186/s13613-016-0151-7
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 Anesthesiology. 2014;14:66. https://doi.org/10.1186/1471-2253-14-66
Sztrymf B, Messika J, Bertrand F, Hurel D, Leon R, Dreyfuss D, Ricard JD. Beneficial Effects of Humidified High Flow Nasal Oxygen in Critical Care Patients: A Prospective Pilot Study. Intensive Care. 2011;(11):1780–1786. https://doi.org/10.1007/s00134-011-2354-6
Delorme M, Bouchard PA, Simon M, Simard M, Lellouche F. Effects of High-Flow Nasal Cannula on the Work of Breathing in Patients Recovering From Acute Respiratory Failure. Crit Care Med. 2017;45(12):1981-1988. https://doi.org/10.1097/CCM.0000000000002693
Spoletini G, Alotaibi M, Blasi F, Hill NS. Heated humidified high-flow nasal oxygen in adults: mechanisms of action and clinical implications. Chest. 2015;148(1):253-261. https://doi.org/10.1378/chest.14-2871
Futier E, Paugam-Burtz C, Constantin JM, Pereira B, Jaber S. The OPERA trial - comparison of early nasal high flow oxygen therapy with standard care for prevention of postoperative hypoxemia after abdominal surgery: study protocol for a multicenter randomized controlled trial. 2013;14:341. https://doi.org/10.1186/1745-6215-14-341
Bräunlich J, Köhler M, Wirtz H. Nasal high-flow improves ventilation in patients with COPD. IJCOPD. 2016;11(1):1077-1085. https://doi.org/10.2147/COPD.S104616
Nilius G, Franke KJ, Domanski U, Rühle KH, Kirkness JP, Schneider H. Effects of nasal insufflation on arterial gas exchange and breathing pattern in patients with chronic obstructive pulmonary disease and hypercapnic respiratory failure. Adv Exp Med Biol. 2013;755:27–34. https://doi.org/10.1007/978-94-007-4546-9_4
Peters SG, Holets SR, Gay PC. High-flow nasal cannula therapy in do-not-intubate patients with hypoxemic respiratory distress. Respir Care. 2013;58(4):597-600. https://doi.org/10.4187/respcare.01887
Simon M, Wachs C, Braune S, de Heer G, Frings D, Kluge S. High-Flow Nasal Cannula Versus Bag-Valve-Mask for Preoxygenation Before Intubation in Subjects With Hypoxemic Respiratory Failure. Respir Care. 2016;61(9):1160-7. https://doi.org/10.4187/respcare.04413
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Kim WY, Sung H, Hong SB, Lim Cm, Koh Y, Huh JW. Predictors of high flow nasal cannula failure in immunocompromised patients with acute respiratory failure due to non-HIV pneumocystis pneumonia. Journal of Thoracic Disease. 2017;9(9):3013-3022. https://doi.org/10.21037/jtd.2017.08.09
Miguel-Montanes R, Hajage D, Messika J, Bertrand F, Gaudry S, Rafat C, et al. Use of High-Flow Nasal Cannula Oxygen Therapy to Prevent Desaturation During Tracheal Intubation of Intensive Care Patients with Mild-to-Moderate Hypoxemia. Crit Care Med 2015;43(3):574-83. https://doi.org/10.1097/CCM.0000000000000743
Frat JP, Thille AW, Mercat A, Girault C, Ragot S, Perbet S, et al. High-flow oxygen through nasal cannula in acute hypoxemic respiratory failure. N Engl J Med. 2015;372(23):2185-2196. http://dx.doi.org/10.1056/NEJMoa1503326.
Vourc’h M, Asfar P, Volteau C, Bachoumas K, Clavieras N, Egreteau PY, et al. High-flow nasal cannula oxygen during endotracheal intubation in hypoxemic patients: a randomized controlled clinical trial. Intensive Care Med. 2015;41(9):1538-1548. https://doi.org/10.1007/s00134-015-3796-z
Kang BJ, Koh Y, Lim CM, Huh JW, Baek S, Han M, et al. Failure of high-flow nasal cannula therapy may delay intubation and increase mortality. Intensive Care Med. 2015;41(4):623–632. https://doi.org/10.1007/s00134-015-3693-5
Yoo JW, Synn A, Huh JW, Hong SB, Koh Y, Lim CM. Clinical efficacy of high-flow nasal cannula compared to noninvasive ventilation in patients with post-extubation respiratory failure. Korean J Intern Med. 2016;31(1):82–88. https://doi.org/10.3904/kjim.2016.31.1.82
Jaber S, Molinari N, De Jong A. New method of preoxygenation for orotracheal intubation in patients with hypoxaemic acute respiratory failure in the intensive care unit, non-invasive ventilation combined with apnoeic oxygenation by high flow nasal oxygen: The randomised OPTINIV study protocol. BMJ Open. 2016;6(8):e011298. https://doi.org/10.1136/bmjopen-2016-011298
Hernández G, Vaquero C, Colinas L, Cuena R, González P, Canabal A, et al. Effect of Postextubation high-flow nasal cannula vs noninvasive ventilation on reintubation and Postextubation respiratory failure in high-risk patients: a randomized clinical trial. JAMA. 2016;316:1565–1574. https://doi.org/10.1001/jama.2016.14194
Tu G, He H, Yin K, Ju M, Zheng Y, Zhu D, et al. High-flow Nasal Cannula Versus Noninvasive Ventilation for Treatment of Acute Hypoxemic Respiratory Failure in Renal Transplant Recipients. Transplant Proc 2017;49(6):1325-1330. https://doi.org/10.1016/j.transproceed.2017.03.088
Frat JP, Ricard JD, Coudroy R, Robert R, Ragot S, Thille AW, on-behalf-of REVA network. Preoxygenation with non-invasive ventilation versus high-flow nasal cannula oxygen therapy for intubation of patients with acute hypoxaemic respiratory failure in ICU: the prospective randomized controlled FLORALI-2 study protocol. BMJ Open. 2017;7(12):e018611. https://doi.org/10.1136/bmjopen-2017-018611
Jaber S, Monnin M, Girard M, Conseil M, Cisse M, Carr J, et al. Apnoeic oxygenation via high-flow nasal cannula oxygen combined with noninvasive ventilation preoxygenation for intubation in hypoxaemic patients in the intensive care unit: the single-Centre, blinded, randomised controlled OPTINIV trial. Intensive Care Med. 2016;42:1877–87. https://doi.org/10.1007/s00134-016-4588-9
Raineri SM, Cortegiani A, Accurso G, Procaccianti C, Vitale F, Caruso S, et al. Efficacy and safety of using high-flow nasal oxygenation in patients undergoing rapid sequence intubation. Turk J Anaesthesiol Reanim. 2017;45:335–9.
Hernández G, Vaquero C, González 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. https://doi.org/10.1001/jama.2016.2711
Brotfain E, Zlotnik A, Schwartz A, Frenkel A, Koyfman L, Gruenbaum SE, Klein M. Comparison of the effectiveness of high flow nasal oxygen cannula vs. standard non-rebreather oxygen face mask in post-extubation intensive care unit patients. Isr Med Assoc J. 2014;16(11):718-22.
Rittayamai N, Tscheikuna J, Rujiwit P. High-flow nasal cannula versus conventional oxygen therapy after endotracheal extubation: a randomized crossover physiologic study. Respir Care. 2014;59(4):485-90. https://doi.org/10.4187/respcare.02397
Dhillon NK, Smith EJT, Ko A, Harada MY, Polevoi D, Liang R, Barmparas G, et al. Extubation to high-flow nasal cannula in critically ill surgical patients. J Surg Res. 2017;217:258-264. https://doi.org/10.1016/j.jss.2017.06.026
Hyun Cho W, Ju Yeo H, Hoon Yoon S, Lee S, SooJeon D, Seong Kim, et al. High-Flow Nasal Cannula Therapy for Acute Hypoxemic Respiratory Failure in Adults: A Retrospective Analysis. Intern Med. 2015;54(18):2307-2313. https://doi.org/10.2169/internalmedicine.54.4266
Spoletini G, Mega C, Khoja A, Khoja A, Alotaibi M, Blasi F, et al. Better comfort and dyspnea scores with high-flow nasal cannula (HFNC) vs standard oxygen (SO) during breaks off noninvasive ventilation (NIV). European Respiratory Society. 2015;46: OA505. https://doi.org/10.1183/13993003.congress-2015.OA505
Rello J, Pérez M, Roca O, Poulakou G, Souto J, Laborda C, et al. High-flow nasal therapy in adults with severe acute respiratory infection: a cohort study in patients with 2009 influenza A/H1N1v. J Crit Care. 2012;27(5):434-439. https://doi.org/10.1016/j.jcrc.2012.04.006
Publication
cánula nasal
https://revistasdigitales.uniboyaca.edu.co/index.php/rs/article/view/406
Revista Investigación en Salud Universidad de Boyacá
Millar J, Lutton S, O’Connor P. The use of high-flow nasal oxygen therapy in the management of hypercarbic respiratory failure. Therapeutic advances in respiratory disease. Ther Adv Respir Dis. 2014;8(2), 63-64.
application/pdf
Artículo de revista
Núm. 1 , Año 2019 : Revista Investigación en Salud Universidad de Boyacá
1
6
cuidado intensivo
https://creativecommons.org/licenses/by-nc-sa/4.0/
oxigenoterapia
fallo respiratorio
Silva Rodriguez, Laura Jimena
Suárez Saavedra, Magda Tixiana
Palencia Mojica, Clara Lizeth
Umbacía Salas, Flor Angela
Valero Ortiz, Adriana
Introducción. La oxigenoterapia brinda un gran número de beneficios para aquellos pacientes que presentan enfermedades cardiorrespiratorias, mejora procesos fundamentales como ventilación,  oxigenación y perfusión clínica. El objetivo de esta revisión de tema es analizar la evidencia de la literatura relacionada con la utilidad y uso de la cánula nasal de alto flujo, en pacientes adultos bajo cuidado intensivo, con falla respiratoria. Materiales y métodos. Se realizó una revisión bibliográfica de 100 artículos publicados en las bases de datos Science Direct, Scopus, Ovid, Medline, Proquest y Cochrane, durante una ventana de tiempo comprendida entre 2011 y 2017. Se seleccionaron 50 artículos originales y se excluyeron 50 estudios correspondientes a revisiones de tema, de caso y a la utilización de la cánula nasal en servicios diferentes a la unidad de cuidado intensivo adulto. Resultados. La cánula nasal de alto flujo fue utilizada en mayor proporción para el manejo terapéutico en falla hipoxémica entre leve y moderada, en falla hipercápnica y en procesos de preintubación y postextubación, con lo cual se evidenció mejoría en los parámetros clínicos y gasométricos y en el confort del paciente; además, se convirtió en una alternativa terapéutica que tiene efectos positivos sobre procesos fisiológicos. Conclusiones. El uso de la cánula nasal de alto flujo ha demostrado beneficios en la evolución clínica de los pacientes, gracias a los efectos terapéuticos que genera en procesos como la oxigenación y ventilación, comparados con otros sistemas de oxigenación convencional; sin embargo, es necesario aumentar los estudios que validen los beneficios de este dispositivo, sobre todo en los pacientes con falla respiratoria tipo hipercápnica.
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Universidad de Boyacá
Revista Investigación en Salud Universidad de Boyacá - 2019
Bérmudez Barrezueta L. Eficacia de la oxigenoterapia de alto flujo para el tratamiento de la bronquiolitis moderada-grave en neonatos. [Tesis de Maestría]. [España]: Universidad Miguel Hernández de Elche; 2015.
Masclans JR, Pérez Terán P, Roca O. The role of high-flow oxygen therapy in acute respiratory failure. Medicina Intensiva. 2015;39(8): 505-15. https://doi.org/10.1016/j.medin.2015.05.009
Riera J, Pérez P, Cortés J, et al: Effect of high-flow nasal can-nula and body position on end-expiratory lung volume: A cohort study using electrical impedance tomography. Respir Care 2013; 58:589–59.
Nishimura M. High-flow nasal cannula oxygen therapy in adults. J Intensive Care. 2015;3(1): 15. https://doi.org/10.1186/s40560-015-0084-5
Milési C, Baleine J, Matecki S, Durand S, Combes C, Batista Novais A, et al. Is treatment with a high flow nasal cannula effective in acute viral bronchiolitis. A physiologic study. Intensive Care Med. 2013;39(6):1088-94. https://doi.org/10.1007/s00134-013-2879-y
McKiernan C, Chua LC, Visintainer P, Allen H. High flow nasal cannulae therapy in infants with bronchiolitis. J Pediatr. 2010;156(4):634-8. https://doi.org/10.1016/j.jpeds.2009.10.039
Ward J. High flow oxygen administration by nasal cannula for adults and perinatal patients. Respir Care. 2013;58(1):98-122. https://doi.org/10.4187/respcare.01941
Velasco Sanz TR, Sánchez de la Ventana AB. La oxigenoterapia de alto flujo con cánula nasal en pacientes críticos. Estudio prospectivo. Enfermería Intensiva. 2014;25(4):131-136. https://doi.org/10.1016/j.enfi.2014.06.001
Patiño J F, Celis E, Díaz J C. Gases sanguíneos, Fisiología de la respiración e Insuficiencia Respiratoria Aguda. 2015;85-115.
Dueñas Castell C, Mejía Bermúdez J, Coronel C, Ortiz Ruiz G. Insuficiencia respiratoria aguda. Acta Colomb Cuid Intensivo. 2016;16(S1):1-24. https://doi.org/10.1016/j.acci.2016.05.001
Lee J, Rehder K, Willifor L, Cheifetz I, Turner D. Use of high flow nasal cannula in critically ill infants, children, and adults: a critical review of the literature. Intensive Care Med. 2013;39(2):247-257. https://doi.org/10.1007/s00134-012-2743-5
Pilar Orive FJ, López Fernández YM. Oxigenoterapia de alto flujo. An Pediatr Contin. 2014;12(1):25-9.
Díaz Lobato S, Mayoralas Alises S, Montielc G. Noninvasive mechanical ventilation in the exacerbation of respiratory diseases. Med Clin (Barc). 2011;137(15):691-696. https://doi.org/10.1016/j.medcli.2011.10.003
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Iglesias I, Lera E. Uso de las cánulas de alto flujo en las urgencias pediátricas. Arch Pediatr Urug. 2016;87(2):84-86.
Kernick J, Magarey J. What is the evidence for the use of high flow nasal cannula oxygen in adult patients admitted to critical care units? A systematic review. Aust Crit Care. 2010;23(2):53-70. https://doi.org/10.1016/j.aucc.2010.01.001
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critical care
Introduction. Oxygen therapy provides many benefits for patients who have cardiorespiratory diseases improving ventilation, oxygenation and clinical perfusion. The aim of this review is to analyze the evidence of the literature related to the usefulness and the use of the high flow nasal cannula in adults patients who are in critical care. Materials and methods. Was carried out a literature review of 100 published articles in database Science Direct, Scopus, Ovid, Medline, Proquest and, Cochrane, between the years 2011-2017,. We selected 50 articles originals, 50 other studies relevant to subject of case reviews and the use of the nasal cannula in different services to the adult intensive care unit were excluded. Results. High flow nasal cannula was used in greater proportion in hypoxemic between slight and moderate in hypercapnic failure and preintubation and post-extubation processes, demonstrating improvements in clinical and geometrics’ parameters and the comfort of the patient, besides becoming an alternative therapy that has positive effects on physiological processes. Conclusions. The use of the high flow nasal cannula has shown benefits in the clinical evolution of patients, thanks to the therapeutic effects that it generates in processes such as oxygenation and ventilation, compared to other conventional oxygenation systems; however, it is necessary to increase the studies that validate the benefits of this device, especially in patients with hypercapnic respiratory failure.
respiratory insufficiency
oxygen inhalation therapy
terapia intensiva
cannula
insuficiência respiratória
oxigenoterapia
cânula nasal
Journal article
Use of high flow nasal cannula in respiratory failure in adults
170
https://revistasdigitales.uniboyaca.edu.co/index.php/rs/article/download/406/468
2019-01-11T00:00:00Z
2019-01-11T00:00:00Z
2019-01-11
2389-7325
2539-2018
187
10.24267/23897325.406
https://doi.org/10.24267/23897325.406
institution UNIVERSIDAD DE BOYACÁ
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country_str Colombia
collection Revista Investigación en Salud Universidad de Boyacá
title Uso de cánula nasal de alto flujo en falla respiratoria en adultos
spellingShingle Uso de cánula nasal de alto flujo en falla respiratoria en adultos
Silva Rodriguez, Laura Jimena
Suárez Saavedra, Magda Tixiana
Palencia Mojica, Clara Lizeth
Umbacía Salas, Flor Angela
Valero Ortiz, Adriana
cánula nasal
cuidado intensivo
oxigenoterapia
fallo respiratorio
critical care
respiratory insufficiency
oxygen inhalation therapy
terapia intensiva
cannula
insuficiência respiratória
oxigenoterapia
cânula nasal
title_short Uso de cánula nasal de alto flujo en falla respiratoria en adultos
title_full Uso de cánula nasal de alto flujo en falla respiratoria en adultos
title_fullStr Uso de cánula nasal de alto flujo en falla respiratoria en adultos
title_full_unstemmed Uso de cánula nasal de alto flujo en falla respiratoria en adultos
title_sort uso de cánula nasal de alto flujo en falla respiratoria en adultos
title_eng Use of high flow nasal cannula in respiratory failure in adults
description Introducción. La oxigenoterapia brinda un gran número de beneficios para aquellos pacientes que presentan enfermedades cardiorrespiratorias, mejora procesos fundamentales como ventilación,  oxigenación y perfusión clínica. El objetivo de esta revisión de tema es analizar la evidencia de la literatura relacionada con la utilidad y uso de la cánula nasal de alto flujo, en pacientes adultos bajo cuidado intensivo, con falla respiratoria. Materiales y métodos. Se realizó una revisión bibliográfica de 100 artículos publicados en las bases de datos Science Direct, Scopus, Ovid, Medline, Proquest y Cochrane, durante una ventana de tiempo comprendida entre 2011 y 2017. Se seleccionaron 50 artículos originales y se excluyeron 50 estudios correspondientes a revisiones de tema, de caso y a la utilización de la cánula nasal en servicios diferentes a la unidad de cuidado intensivo adulto. Resultados. La cánula nasal de alto flujo fue utilizada en mayor proporción para el manejo terapéutico en falla hipoxémica entre leve y moderada, en falla hipercápnica y en procesos de preintubación y postextubación, con lo cual se evidenció mejoría en los parámetros clínicos y gasométricos y en el confort del paciente; además, se convirtió en una alternativa terapéutica que tiene efectos positivos sobre procesos fisiológicos. Conclusiones. El uso de la cánula nasal de alto flujo ha demostrado beneficios en la evolución clínica de los pacientes, gracias a los efectos terapéuticos que genera en procesos como la oxigenación y ventilación, comparados con otros sistemas de oxigenación convencional; sin embargo, es necesario aumentar los estudios que validen los beneficios de este dispositivo, sobre todo en los pacientes con falla respiratoria tipo hipercápnica.
description_eng Introduction. Oxygen therapy provides many benefits for patients who have cardiorespiratory diseases improving ventilation, oxygenation and clinical perfusion. The aim of this review is to analyze the evidence of the literature related to the usefulness and the use of the high flow nasal cannula in adults patients who are in critical care. Materials and methods. Was carried out a literature review of 100 published articles in database Science Direct, Scopus, Ovid, Medline, Proquest and, Cochrane, between the years 2011-2017,. We selected 50 articles originals, 50 other studies relevant to subject of case reviews and the use of the nasal cannula in different services to the adult intensive care unit were excluded. Results. High flow nasal cannula was used in greater proportion in hypoxemic between slight and moderate in hypercapnic failure and preintubation and post-extubation processes, demonstrating improvements in clinical and geometrics’ parameters and the comfort of the patient, besides becoming an alternative therapy that has positive effects on physiological processes. Conclusions. The use of the high flow nasal cannula has shown benefits in the clinical evolution of patients, thanks to the therapeutic effects that it generates in processes such as oxygenation and ventilation, compared to other conventional oxygenation systems; however, it is necessary to increase the studies that validate the benefits of this device, especially in patients with hypercapnic respiratory failure.
author Silva Rodriguez, Laura Jimena
Suárez Saavedra, Magda Tixiana
Palencia Mojica, Clara Lizeth
Umbacía Salas, Flor Angela
Valero Ortiz, Adriana
author_facet Silva Rodriguez, Laura Jimena
Suárez Saavedra, Magda Tixiana
Palencia Mojica, Clara Lizeth
Umbacía Salas, Flor Angela
Valero Ortiz, Adriana
topicspa_str_mv cánula nasal
cuidado intensivo
oxigenoterapia
fallo respiratorio
topic cánula nasal
cuidado intensivo
oxigenoterapia
fallo respiratorio
critical care
respiratory insufficiency
oxygen inhalation therapy
terapia intensiva
cannula
insuficiência respiratória
oxigenoterapia
cânula nasal
topic_facet cánula nasal
cuidado intensivo
oxigenoterapia
fallo respiratorio
critical care
respiratory insufficiency
oxygen inhalation therapy
terapia intensiva
cannula
insuficiência respiratória
oxigenoterapia
cânula nasal
citationvolume 6
citationissue 1
citationedition Núm. 1 , Año 2019 : Revista Investigación en Salud Universidad de Boyacá
publisher Universidad de Boyacá
ispartofjournal Revista Investigación en Salud Universidad de Boyacá
source https://revistasdigitales.uniboyaca.edu.co/index.php/rs/article/view/406
language Español
format Article
rights http://purl.org/coar/access_right/c_abf2
info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/4.0/
Revista Investigación en Salud Universidad de Boyacá - 2019
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