Positively Pressured: Nasal Cannulas in the Respiratory Toolkit

Positively Pressured: Nasal Cannulas in the Respiratory Toolkit

Dec. 1, 2021

There are a lot of options when it comes to providing oxygenation and ventilatory support to our patients.  With so many non-invasive options, host Dr. Kate Joyce sits down with Dr. Jeremy Greenberg to talk about nasal cannula options that may be helpful to many of our patients in the ED.

iTunes

Listen on Google Play Music

Spotify

Pandora

iHeartRadio

Amazon Music

Audible

Host

Kate Joyce, MD, MPH

Henry Ford Hospital EM/IM, PGY3
Twitter: @sceneisnotsafe
Instagram: @sceneisnotsafe  
EMRA*Cast Episodes

Guest

Jeremy Greenberg, MD

Critical Care Faculty
Erlanger Medical Center, Chattanooga, TN
Twitter: @CCChalkTalks

There are a lot of options when it comes to providing oxygenation and ventilatory support to our patients.  With so many non-invasive options, host Dr. Kate Joyce sits down with Dr. Jeremy Greenberg to talk about nasal cannula options that may be helpful to many of our patients in the ED. 


OVERVIEW

The FLORALI Trial (Clinical Effect of the Association of Noninvasive Ventilation and High-Flow Nasal Oxygen Therapy in Resuscitation of Patients with Acute Lung Injury)

Although there are ongoing subsequent studies, the FLORALI trial randomly assigned 310 patients WITHOUT hypercapnia who had acute hypoxemic respiratory failure to high-flow oxygen therapy, standard oxygen therapy through a face mask, or noninvasive positive-pressure ventilation. They evaluated the proportion of patients intubated at day 28, all-cause mortality in the ICU and at 90 days and the number of ventilator-free days at day 28. Check out the NEJM article, but in brief - among the three methods studied, there was no significant difference in intubation rates. Additionally, there was a significant difference in favor of high-flow oxygen in 90-day mortality.  However, be sure to consider whether or not the study results apply to the patient in front of you!

Online Resources

Peer-Reviewed Literature

High Velocity and High Flow Nasal Cannulas in Sepsis

High Velocity and High Flow Nasal Cannula in Pediatrics

Related Content

Oct 14, 2020

Positively Pressured: Nasal Cannulas in the Respiratory Toolkit

There are a lot of options when it comes to providing oxygenation and ventilatory support to our patients. With so many non-invasive options, host Dr. Kate Joyce sits down with Dr. Jeremy Greenberg to talk about our nasal cannula options that may be helpful to many of our patients in the ED.