Revista Española de Cardiología (English Edition) Revista Española de Cardiología (English Edition)
Rev Esp Cardiol. 2011;64:723-5 - Vol. 64 Num.08 DOI: 10.1016/j.rec.2010.10.035

High-Flow Therapy via Nasal Cannula in Acute Heart Failure

José Manuel Carratalá Perales a, Pere Llorens a,, Benjamín Brouzet a, Alejandro Ricardo Albert Jiménez a, José María Fernández-Cañadas a, José Carbajosa Dalmau a, Elena Martínez Beloqui a, Sergio Ramos Forner a

a Servicio de Urgencias y Unidad de Corta Estancia, Hospital General Universitario de Alicante, Alicante, Spain

Keywords

Acute heart failure. Non-invasive ventilation. High-flow oxygen therapy.

Abstract

Various oxygenization methods are used in the treatment of respiratory failure in acute heart failure. Occasionally, after patients are stabilized by these ventilation methods, some maintain a degree of dyspnea or hypoxemia which does not improve and is unrelated to deterioration in the functional class or the need to optimize pharmacological treatment. High-flow oxygen systems administered via nasal cannula that are connected to heated humidifiers (HFT) are a good alternative for oxygenation, given that they are easy to use and have few complications. We studied a series of 5 patients with acute heart failure due to acute pulmonary edema with stable dyspnea or hypoxemia following noninvasive ventilation. All the patients were successfully treated with HFT, showing clinical and gasometric improvement and no complications or technical failures. We report our experience and discuss different aspects related to this oxygenation system.

1885-5857/© 2011 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved

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