Podcast 627: Oxygen Like It’s Hot

<p><strong>Contributor: Aaron Lessen, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">High flow nasal cannula (HFNC) has become more utilized with COVID pandemic</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Multiple studies have shown this method improves both oxygenation and ventilation</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Newer studies have shown the respiratory benefit of HFNC  vs normal oxygen in patients suffering from CHF and those with do not intubate orders who are experiencing respiratory distress.  </span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Heated high flow is another option to provide ventilator and oxygen support to patients who either do not need or do not want to be intubated</span></li> </ul> <p><strong>References</strong></p> <p><span style="font-weight: 400;">Kang MG, Kim K, Ju S, et al.</span> <a href= "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409247/"><span style="font-weight: 400;"> Clinical efficacy of high-flow oxygen therapy through nasal cannula in patients with acute heart failure</span></a> <span style= "font-weight: 400;">.</span> <em><span style="font-weight: 400;">J Thorac Dis</span></em><span style="font-weight: 400;">. 2019;11(2):410-417. doi:10.21037/jtd.2019.01.51</span></p> <p><span style="font-weight: 400;">Peters SG, Holets SR, Gay PC.</span> <a href= "https://pubmed.ncbi.nlm.nih.gov/22781059/"><span style= "font-weight: 400;">High-flow nasal cannula therapy in do-not-intubate patients with hypoxemic respiratory distress.</span></a> <span style="font-weight: 400;">Respir Care. 2013 Apr;58(4):597-600. doi: 10.4187/respcare.01887. PMID: 22781059.</span></p> <p><span style="font-weight: 400;">Sharma S, Danckers M, Sanghavi D, et al.</span> <a href= "https://www.ncbi.nlm.nih.gov/books/NBK526071/"><span style= "font-weight: 400;">High Flow N