Learn more about hospital respiratory care solutions including high-flow oxygen therapy (HFT), noninvasive ventilation (NIV) and invasive mechanical ventilation (IMV).
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It’s a challenge to keep up with the latest innovations in hospital respiratory care: high-flow oxygen therapy (HFT), noninvasive ventilation (NIV), invasive mechanical ventilation (IMV). While often complementary, these techniques aren’t always interchangeable. Understanding which technique is appropriate and when, can help improve patient care and assist clinical teams for success.
Nasal cannula or non-rebreathing mask, 21-100% O2, FiO2 a function of inspiratory flow rate1
Nasal cannula, 21-100% O2 with high flow rates of 40 to 100 L/min, highly humidified, clears dead space, limited and variable PEEP1
Face mask, 21 to 100% O2, PEEP and PS controllable, various modes, monitoring and alarms1
ET tube/trach, 21-100% O2, PEEP and higher levels of PS available, various modes, monitoring and alarms2
ET tube/trach, 21-100% O2, higher levels of PEEP and lower levels of tidal volume, monitoring and alarms2
Timely transition of therapies is important - whether escalation or de-escalation of therapy - or providing HFT between NIV sessions. Although the ability to escalate therapy is important, preventing the delay of intubation in patients who need invasive mechanical ventilation requires understanding and recognition of predictors of failure.
Are HFOT and NIV complementary for acute respiratory failure?
Providing evidence- based care to patients in need of respiratory support
Evidence-based practice for noninvasive ventilation and high flow nasal cannula
T Piraino, RRT, FCSRT
Succeed in Respiratory Care: NIV and High-Flow Oxygen Therapy
Hospital Respiratory Ventilation Solutions
References:
1. Drake. High-Flow Nasal Cannula Oxygen in Adult: An Evidence-based Assessment. Ann Am Thoracic Society. 2018;15(2): 145-155.
2. Schmidt, Pellegrino, Combes, Scheinkestel, Cooper, Hodgson. Mechanical ventilation during extracorporeal membrane oxygenation. Critical Care. 2014;18:203.
3. Piraino. Noninvasive Respiratory Support in Acute Hypoxemic Respiratory Failure. Respir Care 2019;64(6):638 –646.
4. Non-invasive positive pressure ventilation to treat respiratory failure resulting from exacerbations of chronic obstructive pulmonary disease: Cochrane systematic review and meta-analysis. BMJ 2003; 326 doi
5. Experiences of noninvasive ventilation in adults with hypercapnic respiratory failure: a review of evidence. Hamadziripi Ngandu, Nichola Gale, Jane B. Hopkinson; European Respiratory Review Dec 2016, 25 (142) 451-471; DOI: 10.1183/16000617.0002-2016
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