The Department of Critical Care Medicine carries out high-flow therapy and achieves good results.

The Department of Critical Care Medicine carries out high-flow therapy and achieves good results.

With the increasing number of mechanically ventilated patients received by the Department of Critical Care, the number of patients who are difficult to extubate is also rising. To address this situation, the ICU medical staff of People's Hospital paid attention to the patients' concerns and actively introduced high flow humidified oxygen. After the timely and effective connection between high-flow oxygen inhalation and invasive mechanical ventilation, the success rate of patient's offline extubating was significantly enhanced.

Nasal high flow humidified oxygen therapy refers to using a high-flow nasal cannula prong to continuously provide patients with high-flow (30-60L/min) inhalation that can regulate and relatively constant oxygen concentration (21%-100%), temperature (31-37°C) and humidity.

Case #1

Mr Zhang, a patient with respiratory failure, after 12 days of mechanical ventilation with breathing bag, his family members gradually became negative about treatment.

Faced with the negative emotions of the family members, the hospital ICU medical staff actively communicated with the family members and decided to adjust the ventilation parameters and provide high-flow oxygen transition after extubating.

The patient's vital signs were stable during the treatment. One day later, the patient was switched to normal nasal cannula for oxygen supply and was finally successfully transferred to the general ward.

Case #2

Patient Mrs. Jiang suffered from severe craniocerebral trauma, lobar hemorrhage, subarachnoid hemorrhage, subdural hemorrhage, extensive brain contusion and laceration, skull fracture, as well as underlying diseases such as hypertension and diabetes. According to conventional treatment methods, this patient Most of these patients require tracheotomy.

On the 17th day of mechanical ventilation, after discussion in the department, it was decided to extubate the patient offline and transition to high-flow oxygen inhalation. In the end, the patient's vital signs gradually stabilized, oxygenation was stable, and weaning was successful.