The Double-Trunk Mask Improves Oxygenation During High-Flow Nasal Cannula Therapy for Acute Hypoxemic Respiratory Failure

被引：16
|
作者：
Duprez, Frederic [1 ,2 ,3 ]
Bruyneel, Arnaud [4 ,5 ]
Machayekhi, Shahram [1 ]
Droguet, Marie [6 ]
Bouckaert, Yves [6 ]
Brimioulle, Serge [7 ]
Cuvelier, Gregory [3 ]
Reychler, Gregory [2 ]
机构：
[1] Epicura Hosp, ICU, Hornu, Belgium
[2] Catholic Univ Louvain, Pole Pneumol ORL & Dermatol, IREC, Serv Pneumol, Brussels, Belgium
[3] Lab Effort & Mouvement Condorcet, Tournai, Belgium
[4] Catholic Univ Louvain, Intens Care Unit, Brussels, Belgium
[5] Haute Ecole Prov Condorcet, Mons, Belgium
[6] Tivoli Hosp, ICU, La Louviere, Belgium
[7] Erasme Univ Hosp, Dept Intens Care, Brussels, Belgium
来源：
RESPIRATORY CARE | 2019年 / 64卷 / 08期
关键词：
high-flow nasal cannula; high-flow oxygen therapy; acute respiratory failure; oxygen delivery; double-trunk mask; INSPIRED OXYGEN; DELIVERY; ADULTS;
D O I：
10.4187/respcare.06520
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
BACKGROUND: High-flow nasal cannula (HFNC) oxygen therapy is used to deliver an F-IO2 from 0.21 to 1.0. The double-trunk mask (DTM) is a device designed to increase the F-IO2, in patients with a high inspiratory flow demand. The aim of our study was to evaluate the effect of DTM in hypoxemic subjects already receiving HFNC. METHODS: We report a prospective multi-center crossover pilot study including 15 subjects treated with HFNC for acute hypoxemic respiratory failure. Measurements were performed at the end of 30-min periods with HFNC only, with HFNC + DTM, and again with HFNC only. RESULTS: Compared with HFNC alone, HFNC + DTM increased P-aO2 from 68 +/- 14 mm Hg to 85 +/- 22 mm Hg (P < .001) and did not affect P-aO2 (P = .18). In the 11 responders, the P-aO2 increased from 63 +/- 12 mm Hg to 88 +/- 23 mm Hg (P < .001). No complications were reported during DTM use. CONCLUSION: In subjects receiving oxygen via HFNC, the addition of the DTM over the HFNC increased P-aO2 without changing the P-aO2.
引用
收藏
页码：908 / 914
页数：7
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