Podcast 152 – High Flow Nasal Cannulae – Just Blowin’ Hot Air? - a podcast by Scott D. Weingart, MD FCCM

from 2015-06-29T19:50:20

:: ::

Today we have a brief discussion on the new hottie in the respiratory care world, High-Flow Nasal Cannulae

Check Out Critical Care Horizons

Critical Care Horizons published its first articles this week, with a further article due out in the next few days.

How do these Bad Boys Work?

* Best Review by Ward et al.

* Review from an RT Journal

* LitFL CCC Entry

* Josh Farkas has a great post on sole use of high-flow NC

Gastric rupture following nasopharyngeal catheter oxygen delivery-a report of two cases

Some of the Devices: Optiflow, Vapotherm

THRIVE

The THRIVE Study

Miguel-Montanes Study

* The Study in CCM

PREOXYFLOW

* The PREOXYFLOW Study

and the response from the FOAM World

PulmCrit

The Bottom Line Review

FLORALI

The FLORALI Study

The FLORALI Editorial

and the response from the FOAM World

The Bottom Line Review

ICMWK

PulmCCM

ESICM

PulmCrit

EMNerd

Update:

* This trial demonstrates that in poor mental status, Nasal Facemask rather than Full Facemask led to better outcomes (Crit Care. 2013; 17(6): R300)

* John Greenwood, editor of the CCProject, adds this great comment:

Hey Scott,

Great summary and review as always. I've seen a worrisome trend of people citing FLORALI to justify HFNC as a reasonable strategy for pts with hypoxic RF rather than (in my opinion) what should probably be a tool used as bridge during intubation planning. Consider adding this study (http://www.ncbi.nlm.nih.gov/pubmed/25691263) to your pack.

Just out of curiosity,

Further episodes of EMCrit Podcast