High flow nasal cannula oxygen therapy has been widely used in China due to its ability to maintain the normal function of airway mucous,reduce physiological dead space,provide high-flow warm and humidified gas and provide certain ventilation support. At present,there is no clear guidance document for nursing staff in China. Beijing Hospital and other 11 hospitals have formulated the “Nursing Standard for High Flow Nasal Cannula Oxygen in Adults（T/CRHA 015-2023）”,a group standard of the Chinese Research Hospital Association,which provides the basic requirements,assessment,operation and infection control methods for caring adult patients with nasal high flow oxygen therapy. The present article is interpreting some items concerning the each part of standard to help the users understand the standard and promote the normative practice of high flow nasal cannula oxygen therapy.
QI Xiaojiu
,
WU Xinjuan
,
GAO Yanhong
,
ZHANG Zhixia
,
LAN Meijuan
,
GUO Shuming
,
ZHANG Huizhi
,
XIANYU Yunyan
,
LIU Yu
,
CAO Qing
,
ZHANG Hongjun
,
HUANG Zheng
,
DONG Fan
,
TANG Li’an
,
ZHANG Su
. Interpretation for nursing standard of high flow nasal cannula oxygen for adults[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023
, 4(2)
: 136
-139
.
DOI: 10.3761/j.issn.2096-7446.2023.02.008
[1] Nishimura M.High-flow nasal cannula oxygen therapy devices[J]. Respir Care,2019,64(6):735-742.
[2] Drake MG.High-flow nasal cannula oxygen in adults:an evidence-based assessment[J]. Ann Am Thorac Soc,2018,15(2):145-155.
[3] 倪忠,秦浩,李洁,等. 新型冠状病毒肺炎患者经鼻高流量氧疗使用管理专家共识[J]. 中国呼吸与危重监护杂志,2020,19(2):110-115.
Ni Z,Qin H,Li J,et al.Expert consensus on management of high-flow nasal canula oxygen therapy in patients with coronavirus disease 2019[J]. Chin J Respir Crit Care Med,2020,19(2):110-115.
[4] 中华医学会呼吸病学分会呼吸危重症医学学组,中国医师协会呼吸医师分会危重症医学工作委员会,解立新,等. 成人经鼻高流量湿化氧疗临床规范应用专家共识[J]. 中华结核和呼吸杂志,2019,42(2):83-91.
Respiratory Critical Care Group of Respiratory Branch of Chinese Medical Association,Critical Care Medicine Committee of Respiratory Branch of Chinese Medical Doctor Association,Xie LX,et al. Expert consensus of high-flow nasal cannula oxygen therapy on clinical application regularity[J]. Chin J Tu-berc Respir Dis,2019,42(2):83-91.
[5] 中国医师协会急诊医师分会,中华医学会急诊医学分会,中国急诊专科医联体北京急诊医学学会. 急诊成人经鼻高流量氧疗临床应用专家共识[J]. 中华急诊医学杂志,2021,30(9): 1041-1050.
Emergency Medicine Branch of Chinese Medical Doctor Association,Chinese Medical Association,Chinese Emergency Me-dicine Partnership,Beijing Society of Emergency Medicine.Expert concensus of using high flow nasal cannulae oxygen in emergency room[J]. Chin Emerg Med J,2021,30(9):1041-1050.
[6] Nishimura M.High-flow nasal cannula oxygen therapy in adu-lts:physiological benefits,indication,clinical benefits,and adverse effects[J]. Respir Care,2016,61(4):529-541.
[7] 张素,吴欣娟,齐晓玖. 成人氧气吸入疗法护理实践指南[J]. 中华护理杂志,2019,54(z):5-24.
Zhang S,Wu XJ,Qi XJ.Nursing practice guideline for the oxygen inhalation therapy in adult[J]. Chin J Nurs,2019,54(z):5-24.
[8] Plotnikow GA,Accoce M,Navarro E,et al.Humidification and heating of inhaled gas in patients with artificial airway. A narrative review[J]. Rev Bras Ter Intensiva,2018,30(1):86-97.
[9] Agarwal A,Basmaji J,Muttalib F,et al.High-flow nasal cannula for acute hypoxemic respiratory failure in patients with COVID-19:systematic reviews of effectiveness and its risks of aerosolization,dispersion,and infection transmission[J]. J Can D'anesthesie,2020,67(9):1217-1248.
[10] 国家卫生和计划生育委员会. 重症监护病房医院感染预防与控制规范:WS/T509—2016[S]. 北京:中国标准出版社,2016.
National Health and Family Planning Commission. Standard for prevention and control of nosocomial infection in intensive care unit:WS/T509—2016[S]. Beijing:Standards Press of China,2016.
[11] Blakeman TC,Scott JB,Yoder MA,et al.AARC clinical practice guidelines:artificial airway suctioning[J]. Respir Care,2022,67(2):258-271.
[12] Al Ashry HS,Modrykamien AM.Humidification during mechanical ventilation in the adult patient[J]. Biomed Res Int,2014,2014:715434.
[13] Frat JP,Coudroy R,Thille AW.Non-invasive ventilation or high-flow oxygen therapy:when to choose one over the other?[J]. Respirology,2019,24(8):724-731.
[14] Granton D,Chaudhuri D,Wang D,et al.High-flow nasal cannula compared with conventional oxygen therapy or noninvasive ventilation immediately postextubation:a systematic review and meta-analysis[J]. Crit Care Med,2020,48(11):e1129-e1136.
[15] Wang J,Lee KP,Chong SL,et al.High flow nasal cannula in the emergency department:indications,safety and effectiveness[J]. Expert Rev Med Devices,2018,15(12):929-935.
