72 -6 (56) 2023 — Boltayev E.B. — USE OF HIGH-FLOW VENTILATION IN THE TREATMENT OF ACUTE RESPIRATORY INSUFFICIENCY
USE OF HIGH-FLOW VENTILATION IN THE TREATMENT OF ACUTE RESPIRATORY INSUFFICIENCY
Boltayev E.B. Bukhara State Medical Institute named after Abu Ali ibn Sina
Resume
Prevention, diagnosis and treatment of severe respiratory failure have been and remain one of the most urgent problems in medicine and resuscitation. Despite the rapid progress in life support methods and respiratory technologies, artificial lung ventilation is not able to adequately and safely prosthetize the function of external respiration. Therefore, the preservation of spontaneous breathing of the patient and the use of auxiliary non-invasive methods of respiratory support in the absence of contraindications seems to be a promising direction in the treatment of acute respiratory failure, especially in the early stages.
In recent years, an innovative respiratory technology has been actively introduced into clinical practice, which makes it possible to non-invasively deliver an air-oxygen mixture to a patient at a high flow rate (up to 60 liters per minute). High flow oxygen therapy (HFOT) provides not only a high flow rate, but also effective humidification and warming of the air-gas mixture with precise control of the oxygen fraction. Various studies have shown that high-flow oxygen therapy appears to be an effective and well-tolerated method of non-invasive respiratory support for respiratory failure of various origins.
The purpose of this publication is to review the literature data and preliminary results of our own research on the use of high-flow oxygen therapy in various clinical situations.
Key words: respiratory failure, respiratory support, non-invasive lung ventilation, high-flow oxygen therapy.
First page
417
Last page
428
For citation: Boltayev E.B. – USE OF HIGH-FLOW VENTILATION IN THE TREATMENT OF ACUTE RESPIRATORY INSUFFICIENCY //New Day in Medicine 2023 6(56): 417-428 https://newdaymedicine.com/index.php/2023/06/30/l-239/
LIST OF REFERENCES:
- Власенко А. В., Мороз В. В., Яковлев В. Н., Алексеев В. Г. Дифференцированное лечение острого респираторного дистресс-синдрома. Новости анестезиологии и реаниматологии. 2012; 4:23-33.
- Евдокимов Е. А., Мороз В. В., Карпун Н. А., Власенко А. В., Никифоров Ю.В., Проценко Д. Н., Хорошилов С. Е., Кичин В. В. Новые технологии лечения тяжелой сочетанной травмы. «Медицинский алфавит» серия «Неотложная медицина» 2013; 2:26-33.
- Кассиль В. Л., Золотокрылина Е. С. Острый респираторный дистресс-синдром. М.: Медицина; 2006; 294.
- Austin M.A., Wills K.E., Blizzard L., Walters E.H., Wood-Baker R. Effect of high flow oxygen on mortality in chronic obstructive pulmonary disease patients in prehospital setting: randomized controlled trial. BMJ. 2010; 341:54-62.
- Behrendt C. E. Acute respiratory failure in the United States: incidence and 31-day survival. Chest. 2000 Oct; 118(4):1100-5.
- Biselli P. J., Kirkness J. P., Grote L., Fricke K., Schwartz A. R., Smith P. L., Schneider H. Nasal High Flow therapy reduces work of breathing compared to oxygen during sleep in COPD and smoking controls-prospective observational study. J Appl Physiol. 2016; 19:16-21.
- Boyer F., Vargas M., Delacre M., Saint Léger B., Clouzeau G., Hilbert E. Prognostic impact of high-flow nasal cannula oxygen supply in an ICU patient with pulmonary fibrosis complicated by acute respiratory failure. Intensive Care Med. 2011; 37:558-559.
- Bräunlich J., Beyer D., Mai D., Hammerschmidt S., Seyfarth H. J., Wirtz H. Effects of nasal high flow on ventilation in volunteers, COPD and idiopathic pulmonary fibrosis patients. Respiration. 2013; 85(4):319-25.
- Brotfain E., Zlotnik A., Schwartz A., Frenkel A., Koyfman L., Gruenbaum S. E., 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.
- Carratalá J.M. Perales P., Lorens B., Brouzet A.R., Albert J., Fernández-Cañadas J.M., Carbajosa Dalmau J. High-flow therapy via nasal cannula in acute heart failure. Rev Esp Cardiol. 2011; 64:723-725.
- Corley L. R., Caruana A. G., Barnett O., Tronstad J. F., Fraser Oxygen delivery through high-flow nasal cannulae increase end-expiratory lung volume and reduce respiratory rate in post-cardiac surgical patients. British Journal of Anesthesia. 2011; 107(6): 998-1004.
- Dysart K., Miller T.L., Wolfson M.R., Shaffer T.H. Research in high flow therapy: Mechanisms of action. respiratory medicine. 2009; 103:1400-1405.
- Frat J.P., Thille A.W., Mercat A., Girault C., Ragot S., Perbet S. High-flow oxygen through nasal cannula in acute hypoxemic respiratory failure. N Engl J Med. 2015; 372:2185-2196.
- Groves N., Tobin A. High flow nasal oxygen generates positive airway pressure in adult volunteers. Aust Crit Care. 2007; 20(4):126-31.
- Hernandez G., Vaquero C., Gonzalez R., Subira C., Frutos-Vivar F., Rialp G., Laborda C., Colinas L., Cuena R., Fernandez R. Effect of Postextubation High-FlowNasal Cannula vs Conventional Oxygen Therapy on Reintubation in Low-Risk Patients A Randomized Clinical Trial JAMA. 2016; 15-16.
- H o l l e m a n – D u r a y D. , K a u p i e D. , Weiss M.G. Heated humidified high-flow nasal cannula: use and a neonatal early extubation protocol. J. Perinatol. 2007; 27(12):776-81.
- Lewandowski K. Contributions to the epidemiology of acute respiratory failure. Critcare. 2003; 7(4):288-290.
- Lomas C., Roca O., Álvarez A., Masclans J. R. Fibroscopy in patients with hypoxemic respiratory insufficiency: utility of the high-flow nasal cannula. Respir Med CME. 2009; 9:121-124.
- Lucangelo U., Vassallo F. G., Marras E., Ferluga M., Beziza E., Comuzzi L. High-flow nasal interface improves oxygenation in patients undergoing bronchoscopy. Crit Care Res Pract. 2012; 52:506-518.
- Masclans J. R., Pérez-Terán P., Roca O. Papel de la oxigenoterapia de alto flujo en la insuficiencia respiratoria aguda. Med intensive. 2015; 39:505-515.