Ana Isabel Santos, Jessica Cemlyn-Jones, Denny Rodrigues
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Long-Term High-Flow Nasal Cannula in Chronic Respiratory Failure in a Patient with Bronchiectasis.
High-flow nasal cannula (HFNC) is a gas delivery system that provides heated and humidified air at higher flow rates than conventional oxygen therapy. While studies on the role of HFNC as a long-term treatment for chronic respiratory failure are limited, most of them focus on patients with chronic obstructive pulmonary disease. We present the case of a woman with severe bronchiectasis and chronic hypercapnic respiratory failure under nocturnal non-invasive ventilation (NIV) and 24-hour conventional oxygen therapy, who experienced multiple and prolonged hospital admissions. Long-term daytime HFNC was initiated, maintaining nocturnal NIV, resulting in significant improvements in dyspnea, better secretion management, and a reduction in exacerbation rates. While more research is needed, HFNC should be considered for long-term management of chronic respiratory failure in patients with bronchiectasis.
期刊介绍:
The aim of Acta Médica Portuguesa is to publish original research and review articles in biomedical areas of the
highest standard, covering several domains of medical
knowledge, with the purpose to help doctors improve medical care.
In order to accomplish these aims, Acta Médica Portuguesa publishes original articles, review articles, case reports and editorials, among others, with a focus on clinical,
scientific, social, political and economic factors affecting
health. Acta Médica Portuguesa will be happy to consider
manuscripts for publication from authors anywhere in the
world.