Table 1: Aspects to be consider when put a patient on HFNC.
A. Related to the devise |
1. Settings |
i. Flow ii. FiO2 |
2. PaO2/FiO2 interpretation |
3. Start of treatment |
4. Ventilation slots patency |
5. Filter cleaning |
6. Disinfection |
7. Lack of internal battery |
B. Related to oxygenation |
1. O2 tube connection |
2. FiO2 delay |
3. Internal alarms menu settings |
4. Adjusting flowmeter |
5. No smoking |
C. Related to humidification |
1. Sterile water |
2. Plastic bags |
3. Cap |
4. Avoid the device runs out of water |
5. Permeable circuit |
D. Related to the tubing |
1. Tube electric resistance |
2. Tube breaks |
3. Tube position |
4. Tube weight |
E. Related to nasal cannulas |
1. Cannula size |
2. Appropriate cannulas |
3. Cannula placement |
4. Adequate nasal hygiene |
5. Harness |
F. Related to alarms |
1. Internal alarm menu setting |
2. Alarm identification |
G. Related to the patient |
1. Nose 2. Paradoxical suffocation |
3. Chest pressure |
4. Understanding HFNC |
5. Mobility |
6. Noise |
7. Claustrophobia |
8. Intolerance |
9. Pneumothorax |