Weaning from mechanical ventilation with high flow oxygen therapy via tracheal cannula

Authors

  • Kristijan Skok Insitute of Biomedical Sciences, Faculty of Medicine, University of Maribor, Maribor, Slovenia http://orcid.org/0000-0002-3027-8164
  • Jerneja Golub Medical Intensive Care Unit, University Medical Centre Maribor, Maribor, Slovenia
  • Damjana Kunej Medical Intensive Care Unit, University Medical Centre Maribor, Maribor, Slovenia
  • Andreja Sinkovič Medical Intensive Care Unit, University Medical Centre Maribor, Maribor, Slovenia; Faculty of Medicine, University of Maribor, Maribor, Slovenia
  • Andrej Markota Medical Intensive Care Unit, University Medical Centre Maribor, Maribor, Slovenia; Faculty of Medicine, University of Maribor, Maribor, Slovenia

DOI:

https://doi.org/10.6016/ZdravVestn.2979

Keywords:

intensive care medicine, ventilator weaning, high-flow oxygen therapy, tracheal cannula, nasal cannula

Abstract

Introduction: Application of oxygen at high flows via nasal cannula can be used in patients with hypoxemic respiratory failure and to prevent reintubation. It is well tolerated by the patients and has been associated with lower mortality. However, there is very little data on the use of oxygen at high flows connected to tracheal cannula (HFOTC).

Case presentation: We present two patients in whom weaning from mechanical ventilation was difficult and we decided to use HFOTC for weaning. Weaning from mechanical ventilation with HFOTC was successful in both patients and they tolerated long term (4 and 2 days, respectively) ventilatory support with HFOTC without adverse effects.

Conclusions: HFOTC might be used during weaning from mechanical ventilation, however, more data is needed to determine the optimal use of this treatment option.

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Author Biographies

  • Kristijan Skok, Insitute of Biomedical Sciences, Faculty of Medicine, University of Maribor, Maribor, Slovenia

    University of Maribor, Faculty of Medicine, Insitute of Biomedical Sciences, Taborska ulica 8, SI-2000 Maribor, Slovenia

  • Jerneja Golub, Medical Intensive Care Unit, University Medical Centre Maribor, Maribor, Slovenia

    University Medical Centre Maribor, Medical Intensive Care Unit, Ljubljanska 5, SI-2000 Maribor, Slovenia

  • Damjana Kunej, Medical Intensive Care Unit, University Medical Centre Maribor, Maribor, Slovenia

    University Medical Centre Maribor, Medical Intensive Care Unit, Ljubljanska 5, SI-2000 Maribor, Slovenia

  • Andreja Sinkovič, Medical Intensive Care Unit, University Medical Centre Maribor, Maribor, Slovenia; Faculty of Medicine, University of Maribor, Maribor, Slovenia

    University of Maribor, Faculty of Medicine, Taborska ulica 8, SI-2000 Maribor, Slovenia
    University Medical Centre Maribor, Medical Intensive Care Unit, Ljubljanska 5, SI-2000 Maribor, Slovenia

  • Andrej Markota, Medical Intensive Care Unit, University Medical Centre Maribor, Maribor, Slovenia; Faculty of Medicine, University of Maribor, Maribor, Slovenia

    University of Maribor, Faculty of Medicine, Taborska ulica 8, SI-2000 Maribor, Slovenia

    University Medical Centre Maribor, Medical Intensive Care Unit, Ljubljanska 5, SI-2000 Maribor, Slovenia

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Published

2021-02-28

Issue

Vol. 90 No. 1-2 (2021): January - February

Section

Case report

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How to Cite

1.
Weaning from mechanical ventilation with high flow oxygen therapy via tracheal cannula. ZdravVestn [Internet]. 2021 Feb. 28 [cited 2024 Sep. 28];90(1-2):96-101. Available from: https://vestnik.szd.si/index.php/ZdravVest/article/view/2979

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