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Related Concept Videos

Administering Oxygen by Nasal Cannula01:29

Administering Oxygen by Nasal Cannula

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Oxygen therapy is critical to patient care, especially for those struggling with respiratory issues. This intervention increases the oxygen concentration in the lungs, enhancing the amount of oxygen transported to the body's tissues. One standard method of delivering supplemental oxygen is through a nasal cannula, a non-invasive device that provides low to medium oxygen concentrations.
Nasal Cannulas
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Oxygen Delivering System I: Nasal Cannula and Face Mask01:26

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The human body requires oxygen to function, and when the natural process of respiration is hindered, external devices, including the following, are needed to help deliver this vital gas.
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
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Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

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Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
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Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
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Administering Oxygen by Mask01:30

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Administering Oxygen by Mask
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
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The equipment necessary for this procedure includes:
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Tracheostomy Decannulation01:21

Tracheostomy Decannulation

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Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
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Evaluation of Capnography Sampling Line Compatibility and Accuracy when Used with a Portable Capnography Monitor
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High-Flow Nasal Cannula in Transport: Process, Results, and Considerations.

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  • 1Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH; Critical Care Transport, Cleveland Clinic, Cleveland, OH.

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|March 6, 2022
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High-flow nasal cannula (HFNC) is a safe and effective noninvasive ventilation option for patients during interhospital transport. This study shows HFNC is well-tolerated across pediatric and adult populations, with no patients requiring intubation.

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Area of Science:

  • Emergency Medicine
  • Respiratory Care
  • Critical Care Transport

Background:

  • The COVID-19 pandemic heightened interest in high-flow nasal cannula (HFNC) use during patient transport.
  • HFNC offers a noninvasive ventilation alternative for various patient populations.

Purpose of the Study:

  • To outline the clinical workflow for implementing HFNC in transport.
  • To evaluate the outcomes of patients transferred using HFNC via a retrospective chart review.

Main Methods:

  • A retrospective chart review was conducted for 220 patients (148 pediatric, 72 adult) transferred between January 2018 and June 2019.
  • Data collected included demographics, transport details, HFNC settings (flow rate, FiO2), and vital signs.

Main Results:

  • Pediatric patients showed significant reductions in heart rate and blood pressure.
  • Commonly used settings: 10 L/min for pediatrics, 50 L/min for adults; FiO2 varied, with 30% common for pediatrics and 50-80% for adults.
  • No patients required intubation during transport.

Conclusions:

  • HFNC is a feasible and well-tolerated noninvasive ventilation method for interhospital transport across all age groups.
  • Further research is needed to compare HFNC with other noninvasive modalities and define optimal use cases.