High Flow Nasal Cannula with Dr. Jessica Whittle

<p><strong>Overview:</strong> In this episode of EMRA*Cast, Dr. Jessie Werner and Dr. Jessica Whittle discuss high flow nasal cannula. Unsure of the difference among nasal cannula, a venti mask or a non-rebreather? Sick asthmatics? Pedi patients? Pneumonia? Learn when to use this modality to improve patient comfort and help stave off intubation.</p> <p><strong>Key Points:</strong></p> <p> </p> <ul> <li>Regular nasal cannula goes up to 15L/min but patients are really only getting about 6L/min because of outside air mixing in</li> <li>The progression of FiO2 goes nasal cannula🡪venti🡪non-rebreather </li> <li>High flow nasal cannula goes up to about 40L/min of flow and is humidified so it’s more comfortable for patients</li> <li>Evidence points to a mortality benefit using high flow nasal cannula in pneumonia patients</li> </ul> <p> </p> <p> </p> <p><strong>References:</strong> <span style= "font-weight: 400;"> </span></p> <ul> <li style="font-weight: 400;"><span style= "font-weight: 400;">Jentzer, Jacob, Cameron Dezfulian, and Lillian Emlet. "High-Flow Oxygen through Nasal Cannula in Acute Hypoxemic Respiratory Failure: the FLORALI study." </span><em><span style= "font-weight: 400;">F1000Research</span></em><span style= "font-weight: 400;"> 5.41 (2016): 41.</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">Frat, Jean-Pierre, et al. "Preoxygenation with non-invasive ventilation versus high-flow nasal cannula oxygen therapy for intubation of patients with acute hypoxaemic respiratory failure in ICU: the prospective randomised controlled FLORALI-2 study protocol." </span><em><span style="font-weight: 400;">BMJ open</span></em><span style="font-weight: 400;"> 7.12 (2017): e018611.</span></li> <li style="font-weight: 400;"><span style= "font-weight: 400;">Milési, Christophe, et al. "High flow on the rise—pediatric perspectives on the FLORALI trial." </span><em><span style="font-weight: 400;">Journal of thoracic disease</span></em><span style= "font-weight: 400;"> 7.8 (2015): E230.</span></li> </ul