International Emergency Nursing Vol. 57 July 2021
How do nurses better predict outcomes for adult COVID-19 patients receiving nasal high flow therapy in the emergency care setting? Contemporary issues)
Dublin Core
Title
International Emergency Nursing Vol. 57 July 2021
How do nurses better predict outcomes for adult COVID-19 patients receiving nasal high flow therapy in the emergency care setting? Contemporary issues)
How do nurses better predict outcomes for adult COVID-19 patients receiving nasal high flow therapy in the emergency care setting? Contemporary issues)
Subject
Oxygenation, Nasal High Flow, Emergency Care, Respiratory Support, Respiratory Failure, COVID-19. ROX index
Description
The adoption of nasal high flow therapy (NHF) as a form of respiratory support (RS) has steadily increased, particularly since the emergence of COVID-19. Formally RS of the spontaneously breathing adult
patient was achieved using non invasive ventilation (NIV) or conventional oxygen therapy (COT)). Today RS includes the option of NHF therapy. Nasal high flow therapy is used in various clinical settings, including the busy Emergency Care (EC) where it is regarded as a feasible RS option. In patients with acute respiratory failure (ARF) reliable evidence credits NHF use with a possibly lower mortality rate (HR 2.50 (95% CI, 1.31 to 4.78) non-invasive ventilation versus NHF (P=0.006)) [2], this evidence has driven changes to patient care [7]. Whereby based on degree of hypoxemia: mild ARF is (200 mm Hg <PaO2/FIO2 ≤ 300 mm Hg), moderate (100 mm Hg < PaO2/FIO2 ≤ 200 mm Hg), and severe (PaO2/FIO2 ≤ 100 mm Hg) [9]. Emergency Care Nurses are motivated to improve the prediction of outcomes for those receiving NHF therapy. Nurses in EC appreciate that any delay in care escalation is associated with an increase in poor outcomes such as
mortality, increased length of hospital stay, and cost [5]. Unstable EC patients require close monitoring and assessment to ensure timely escalation and possible intubation, including those receiving NHF therapy. Additionally, EC nurses should be aware of NHF therapy's potential to mask symptoms such as unstable oxygen saturations, blurring the diagnostic process.
patient was achieved using non invasive ventilation (NIV) or conventional oxygen therapy (COT)). Today RS includes the option of NHF therapy. Nasal high flow therapy is used in various clinical settings, including the busy Emergency Care (EC) where it is regarded as a feasible RS option. In patients with acute respiratory failure (ARF) reliable evidence credits NHF use with a possibly lower mortality rate (HR 2.50 (95% CI, 1.31 to 4.78) non-invasive ventilation versus NHF (P=0.006)) [2], this evidence has driven changes to patient care [7]. Whereby based on degree of hypoxemia: mild ARF is (200 mm Hg <PaO2/FIO2 ≤ 300 mm Hg), moderate (100 mm Hg < PaO2/FIO2 ≤ 200 mm Hg), and severe (PaO2/FIO2 ≤ 100 mm Hg) [9]. Emergency Care Nurses are motivated to improve the prediction of outcomes for those receiving NHF therapy. Nurses in EC appreciate that any delay in care escalation is associated with an increase in poor outcomes such as
mortality, increased length of hospital stay, and cost [5]. Unstable EC patients require close monitoring and assessment to ensure timely escalation and possible intubation, including those receiving NHF therapy. Additionally, EC nurses should be aware of NHF therapy's potential to mask symptoms such as unstable oxygen saturations, blurring the diagnostic process.
Creator
Jane ODonnell, Alison Pirret, Karen Hoare
Publisher
Elsevier Ltd.
Date
July 2021
Contributor
Sri Wahyuni
Rights
1755-599X
Format
PDF
Language
English
Type
Text
Coverage
International Emergency Nursing Vol. 57 July 2021
Files
Citation
Jane ODonnell, Alison Pirret, Karen Hoare, “International Emergency Nursing Vol. 57 July 2021
How do nurses better predict outcomes for adult COVID-19 patients receiving nasal high flow therapy in the emergency care setting? Contemporary issues),” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1679.
How do nurses better predict outcomes for adult COVID-19 patients receiving nasal high flow therapy in the emergency care setting? Contemporary issues),” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1679.