Home High-Flow Nasal Cannula in Patients with Chronic Respiratory Failure: A Literature Review and Suggestions for Clinical Practice.

IF 2.5 Q2 RESPIRATORY SYSTEM
Tuberculosis and Respiratory Diseases Pub Date : 2025-04-01 Epub Date: 2025-02-18 DOI:10.4046/trd.2024.0196
Youjin Chang, Moon Seong Baek, Sei Won Kim, Su Hwan Lee, Jung Soo Kim, So Young Park, Jin Woo Kim, Jae Hwa Cho, Sunghoon Park
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引用次数: 0

Abstract

High-flow nasal cannula (HFNC) is a noninvasive respiratory support system that delivers air that is heated at 31°C-38°C, humidified 100%, and oxygen-enriched at a constant high flow rate of 15-60 L/min. Because of its numerous physiological benefits, convenience, and minimal side effects, HFNC has been increasingly used over the past decade in patients with acute hypoxemic respiratory failure, yet the clinical benefits of long-term HFNC remain uncertain. Several studies have suggested its potential use as an alternative home oxygen therapy for patients with chronic stable lung diseases, such as chronic obstructive pulmonary disease (COPD), interstitial lung disease, and bronchiectasis. The use of long-term home HFNC in patients with chronic respiratory failure is an emerging area with promising potential. Despite limited clinical research, this review aims to describe the physiology of HFNC use and summarize the current evidence on its long-term application, to provide healthcare providers with insights and perspectives on the potential role of long-term home HFNC.

家用高流量鼻插管治疗慢性呼吸衰竭:文献回顾及临床应用建议。
高流量鼻插管(HFNC)是一种无创呼吸支持系统,以恒定的高流量(15-60 L/min)输送加热(31-38℃)、加湿(100%)和富氧空气。由于其众多的生理益处,加上额外的方便和最小的副作用,在过去的十年中,HFNC越来越多地用于急性低氧性呼吸衰竭患者。然而,长期HFNC的临床益处仍不确定。然而,一些研究表明,对于慢性阻塞性肺疾病(COPD)、间质性肺疾病和支气管扩张等慢性稳定肺病患者,它可能作为一种替代的家庭氧气治疗方法。在慢性呼吸衰竭患者中长期使用家庭HFNC是一个新兴领域,具有很大的潜力。尽管临床研究有限,这篇叙述性综述旨在描述HFNC使用的生理学,并总结其长期应用的现有证据。它为医疗保健提供者提供了关于长期家庭HFNC潜在作用的见解和观点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.30
自引率
0.00%
发文量
42
审稿时长
12 weeks
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