RESULTS OF TECHNICAL HIGH-FLOW OXYGEN, WARM AND HUMIDIFY IN TRACHEOSTOMY PATIENTS

Đình Thuyên Nguyễn1,, Thị Kiều Trinh Nguyễn1, Thị Nga Nguyễn1, Thị Thương Lê1, Thị Phương Loan Phạm 1, Quốc Phong Đỗ1, Hải Vinh Vũ 1, Gia Bình Nguyễn2
1 E hospital
2 Bach Mai hospital

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Abstract

Objective: Comment on the change of clinical and subclinical indicators in tracheostomy patients before and after high-flow oxygen, warm and humidify (HFTO). Methods: 23 patients with tracheostomy were assigned HFTO through a heated and humidified device with airflow 50 l/min. Assess clinical and blood gas at some point in time. Results: After 23 patients received HFTO, we recognize that after 12 - 24h, almost all patients improved their ability to cough. After 24h, the patient’s sputum was diluted. SpO2 from the beginning increased and was stable in the first 24 hours. In 24 hours, the patient’s heart rate was steady. The respiratory rate decreased in 24h during HFTO. The blood gas of patients with HFTO was not statistically different compared with invasive ventilation. The success rate was 86,96% and the failure rate was 13,04%. Conclusion: Treatment with heated and humidified HFTO is effective in clearing the airway by diluting the sputum and stimulating coughing. The blood gas was stable after 24 hours from the beginning of the treatment.

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References

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