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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.11
- 수록면
- 275 - 285 (11page)
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The high-flow nasal cannula (HFNC) has been recently used in several clinical settings for oxygen- ation in adults. In particular, the advantages of HFNC compared with low-flow oxygen systems or non-invasive ventilation include enhanced comfort, increased humidification of secretions to facil- itate expectoration, washout of nasopharyngeal dead space to improve the efficiency of ventila- tion, provision of a small positive end-inspiratory pressure effect, and fixed and rapid delivery of an accurate fraction of inspired oxygen (FiO2) by minimizing the entrainment of room air. HFNC has been successfully used in critically ill patients with several conditions, such as hypoxemic respira- tory failure, hypercapneic respiratory failure (exacerbation of chronic obstructive lung disease), post-extubation respiratory failure, pre-intubation oxygenation, and others. However, the indica- tions are not absolute, and much of the proven benefit remains subjective and physiologic. This re- view discusses the practical application and clinical uses of HFNC in adults, including its unique respiratory physiologic effects, device settings, and clinical indications.
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참고문헌 (80)
참고문헌 신청
Qaseem A / 2021 / Appropriate use of high-flow nasal oxygen in hospitalized patients for initial or postextubation management of acute respiratory failure : a clinical guideline from the American College of Physicians / Ann Intern Med 174:977~984
Campbell EJ / 1988 / Subjective effects of humidification of oxygen for delivery by nasal cannula : a prospective study / Chest 93:289~293
Chanques G / 2009 / Discomfort associated with underhumidified high-flow oxygen therapy in critically ill patients / Intensive Care Med 35:996~1003
Sztrymf B / 2012 / Impact of high-flow nasal cannula oxygen therapy on intensive care unit patients with acute respiratory failure : a prospective observational study / J Crit Care 27:324
Sztrymf B / 2011 / Beneficial effects of humidified high flow nasal oxygen in critical care patients : a prospective pilot study / Intensive Care Med 37:1780~1786
Campbell EJ / 1988 / Subjective effects of humidification of oxygen for delivery by nasal cannula : a prospective study / Chest 93:289~293
Chanques G / 2009 / Discomfort associated with underhumidified high-flow oxygen therapy in critically ill patients / Intensive Care Med 35:996~1003
Sztrymf B / 2012 / Impact of high-flow nasal cannula oxygen therapy on intensive care unit patients with acute respiratory failure : a prospective observational study / J Crit Care 27:324
Sztrymf B / 2011 / Beneficial effects of humidified high flow nasal oxygen in critical care patients : a prospective pilot study / Intensive Care Med 37:1780~1786
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