Uses of the high-flow nasal cannula for COVID-19 patients. How does it work an what are its indications? Is it safe or patients with acute hypoxic respiratory failure?

Usos de la cánula nasal de alto flujo para pacientes con COVID-19. ¿Cómo funciona, cuáles son sus indicaciones? ¿Es segura en los pacientes con insuficiencia respiratoria aguda hipoxémica?;
Usos da cânula nasal de alto fluxo para pacientes com COVID-19. Como funciona e quais suas indicações? É segura nos pacientes com insuficiência respiratória aguda hipoxêmica?

dc.creatorHincapié Díaz, Gustavo Adolfo
dc.creatorEcheverría González, Claudia Liliana
dc.creatorEnciso Bahamón, Luisa Fernanda
dc.date2021-06-04
dc.date.accessioned2022-12-15T18:29:14Z
dc.date.available2022-12-15T18:29:14Z
dc.identifierhttps://revistas.unimilitar.edu.co/index.php/rmed/article/view/5101
dc.identifier10.18359/rmed.5101
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/5357503
dc.descriptionThe coronavirus type 2 or SARS-COV-2 pandemic has held a threat over the world health system due to its high transmission rate. It has made all health systems collapse and has made evident the lack of resources such as personal protection elements and the insufficient number of ventilators for the number of patients with acute hypoxic respiratory failure. Due to his reasons, many options have been used as an alternative, being the high-flow nasal cannula one of them since it allows administering high-flow oxygen to patients with severe hypoxemia. During the COVID-19 epidemic, a concern has raised regarding this device as well as all devices used to supply oxygen to patients since they produce great dispersion of aerosols and the possibility of transmission to clinicians and staff. This has led to reject its use and give almost exclusive preference to the use of conventional cannula and mechanical ventilators with infected patients. Therefore, this study reviews the literature dealing with the high-flow nasal cannula action mechanisms, its safety for health workers and its indications for patients infected with COVID-19, as well as its advantages; amongst them, being a device that prevents the use of mechanical ventilators, which can be useful when managing patients in case of an epidemiological peak in Colombia.en-US
dc.descriptionLa pandemia por coronavirus tipo 2 o SARS-COV-2 tiene en jaque al sistema sanitario mundial dada su alta tasa de contagio; ha hecho colapsar todos los sistemas de salud y ha puesto en evidencia la escasez de recursos como los elementos de protección y la cantidad insuficiente de ventiladores en relación con el número de pacientes con falla respiratoria aguda hipoxémica. Por estas razones, se ha tenido que recurrir a diferentes opciones, una de ellas la cánula de alto flujo, que permite administrar oxígeno a alto flujo a los pacientes con hipoxemia severa. Durante la pandemia por COVID-19, se ha generado la inquietud acerca de que este dispositivo, como todos los dispositivos que permiten la administración de oxígeno, produce gran dispersión de aerosoles y la posibilidad de contagio del personal de la salud, lo cual ha llevado a desestimar su uso y utilizar de manera casi exclusiva la cánula nasal convencional y la ventilación mecánica en sujetos infectados. De manera que en este trabajo, se realizó una revisión de la literatura que recoge los mecanismos de acción, su seguridad para el personal de salud y las indicaciones del uso de la cánula nasal de alto flujo en los pacientes infectados por COVID-19 así como sus ventajas; entre ellas, ser dispositivo ahorrador de ventiladores mecánicos, lo que puede ser muy útil en el manejo de los pacientes en caso de un pico epidémico en Colombia.es-ES
dc.descriptionA pandemia pelo coronavírus tipo 2, SARS-COV-2, põe em xeque o sistema sanitário mundial tendo em vista sua alta taxa de contágio. Além disso, tem feito colapsar todos os sistemas de saúde e evidenciado a escassez de recursos como os elementos de proteção e a quantidade insuficiente de ventiladores para o número de pacientes com insuficiência respiratória aguda hipoxêmica. Por essas razões, recorre-se a diferentes opções, uma delas a cânula de alto fluxo, que permite administrar oxigênio a alto fluxo aos pacientes com hipoxemia severa. Durante a pandemia pela COVID-19, muitas dúvidas são geradas sobre esse dispositivo, como todos os dispositivos que permitem o manejo do oxigênio, produz grande dispersão de aerossóis e a possibilidade de contágio da equipe de saúde, o que tem levado a desestimar seu uso e a utilizar de maneira quase exclusiva a cânula nasal convencional e a ventilação mecânica em sujeitos infectados. Assim, neste trabalho, foi realizada uma revisão da literatura que coleta os mecanismos de ação, sua segurança para a equipe de saúde e as indicações do uso da cânula nasal de alto fluxo nos pacientes com COVID-19, bem como suas vantagens; entre elas, ser dispositivo que dispensa ventiladores mecânicos, o que pode ser muito útil no manejo dos pacientes caso haja um pico epidêmico na Colômbia.pt-BR
dc.formatapplication/pdf
dc.formattext/xml
dc.languagespa
dc.publisherUniversidad Militar Nueva Granadaes-ES
dc.relationhttps://revistas.unimilitar.edu.co/index.php/rmed/article/view/5101/4624
dc.relationhttps://revistas.unimilitar.edu.co/index.php/rmed/article/view/5101/4781
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dc.rightsDerechos de autor 2021 Revista Medes-ES
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/4.0es-ES
dc.sourceRevista Med; Vol. 28 No. 2 (2020): july - december; 25-34en-US
dc.sourceRevista Med; Vol. 28 Núm. 2 (2020): julio - diciembre; 25-34es-ES
dc.source1909-7700
dc.source0121-5256
dc.titleUses of the high-flow nasal cannula for COVID-19 patients. How does it work an what are its indications? Is it safe or patients with acute hypoxic respiratory failure?en-US
dc.titleUsos de la cánula nasal de alto flujo para pacientes con COVID-19. ¿Cómo funciona, cuáles son sus indicaciones? ¿Es segura en los pacientes con insuficiencia respiratoria aguda hipoxémica?es-ES
dc.titleUsos da cânula nasal de alto fluxo para pacientes com COVID-19. Como funciona e quais suas indicações? É segura nos pacientes com insuficiência respiratória aguda hipoxêmica?pt-BR
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dc.typeinfo:eu-repo/semantics/publishedVersion


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