High-flow nasal cannula oxygen therapy for acute exacerbation of interstitial pneumonia: A case series

被引:22
作者
Horio, Yukihiro [1 ]
Takihara, Takahisa [1 ]
Niimi, Kyoko [1 ]
Komatsu, Masamichi [2 ]
Sato, Masako [1 ]
Tanaka, Jun [1 ]
Takiguchi, Hiroto [1 ]
Tomomatsu, Hiromi [1 ]
Tomomatsu, Katsuyoshi [1 ]
Hayama, Naoki [1 ]
Oguma, Tsuyoshi [1 ]
Aoki, Takuya [1 ]
Urano, Tetsuya [1 ]
Takagi, Atsushi [2 ]
Asano, Koichiro [1 ]
机构
[1] Tokai Univ, Sch Med, Dept Med, Div Pulm Med, 143 Shimokasuya, Isehara, Kanagawa 2591193, Japan
[2] Tokai Univ, Sch Med, Dept Med, Div Gen Med, Isehara, Kanagawa, Japan
关键词
Interstitial pneumonia; Acute exacerbation; Acute respiratory failure; Oxygen therapy; High-flow nasal cannula;
D O I
10.1016/j.resinv.2015.09.005
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
We report 3 cases (all men, age: 69-81 years) of acute exacerbation of interstitial pneumonia (AEIP) that were successfully treated with a high-flow nasal cannula (HFNC), which delivers heated, humidified gas at a fraction of inspired oxygen (FIO2) up to 1.0 (100%). Oxygenation was insufficient under non-rebreathing face masks; however, the introduction of HFNC with an FIO2 of 0.7-1.0 (flow rate: 40 L/min) improved oxygenation and was well-tolerated until the partial pressure of oxygen in blood/FIO2 ratio increased (between 21 and 26 days). Thus, HFNC might be an effective and well-tolerated therapeutic addition to the management of AEIP. (C) 2015 The Japanese Respiratory Society. Published by Elsevier B.V. All rights reserved.
引用
收藏
页码:125 / 129
页数:5
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