High-flow oxygen therapy in treatment of acute respiratory failure of various genesis: opportunities and prospects
Abstract
Prevention, diagnosis and treatment of severe acute respiratory failure have been and remain one of the urgent problems of medicine and resuscitation. Despite the rapid progress of life support methods and respiratory technologies, artificial lung ventilation is not able to adequately and safely replacement of respiratory function. Therefore, the preservation of the patient spontaneous breathing and the use of non-invasive respiratory support methods, in the absence of contraindications, seems to be a promising direction for the treatment of acute respiratory failure, especially in the early stages. In recent years, innovative respiratory technology is actively being introduced into clinical practice, which allows to deliver the air-oxygen mixture with a high flow rate (up to 60 liters per minute) in an no invasive manner. High flow oxygen therapy (HFOty provides not only a high flow rate, but also an effective humidity and warming of the air-gas mixture with precise control of the oxygen fraction. Various studies have shown that high-flow oxygen therapy (HPV) seems to be an effective and well tolerated method for non-invasive respiratory support in respiratory failure of various genesis. The aim of this publication is to review the literature data and preliminary results of our own studies on the use of HFOT in different clinical situations.
About the Authors
A. V. Vlasenko
Russian Medical Academy for Postgraduate Continuous Education; City Clinical Hospital n.a. S. P. Botkin
Russian Federation
Russian Federation
A. G. Koryakin
Russian Medical Academy for Postgraduate Continuous Education; City Clinical Hospital n.a. S. P. Botkin
Russian Federation
Russian Federation
E. A. Evdokimov
Russian Medical Academy for Postgraduate Continuous Education; City Clinical Hospital n.a. S. P. Botkin
Russian Federation
Russian Federation
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Review
For citations:
Vlasenko A.V., Koryakin A.G., Evdokimov E.A. High-flow oxygen therapy in treatment of acute respiratory failure of various genesis: opportunities and prospects. Medical alphabet. 2017;3(29):16-26. (In Russ.)
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