High Flow Oxygen Therapy (HFOT)
Key Details
High Flow Oxygen Therapy (HFOT) Overview
High Flow Oxygen has become a standard therapy for the treatment of respiratory patients throughout the acute care hospital.
AquaVENT® High Flow Oxygen Therapy (HFOT) delivers flow rates greater than conventional oxygen therapy via a specific high flow nasal cannula (HFNC), which enables flow rates up to 70 L/min.
AquaVENT® breathing circuits heat and humidify the gases for patient comfort and to prevent drying of the respiratory airway.
Benefits include: Low variable PEEP, increased FiO2 and improved secretion clearance.
Low variable PEEP
HFOT via nasal cannula delivers flow dependent low levels of PEEP. Studies suggest 3cm/H2O at 70 litres of flow with the patients mouth closed. Lower pressures are delivered with the patient’s mouth open. For more information click here.
Positive End-Expiratory Pressure Effect of 3 High-Flow Nasal Cannula Devices.
Jing-Chao Luo et al. Read the full paper.
Increased FiO2
HFOT via nasal cannula flushes the carbon dioxide (CO2) out of the upper respiratory airway, avoiding rebreathing of CO2 and increasing the delivered FIO2.
Möller et al. demonstrated that fresh gas administered by HFNC at 30 L/min flushes the dead space in the nasal cavity.
Nasal high flow clears anatomical dead space in upper airway models.
Winfried Möller et. al. Read the full paper.
Improved secretion clearance
Maintaining secretion clearance is critical to reduce the incidence of respiratory complications in patients with chronic respiratory conditions such as COPD, Asthma or post operative patients, where secretion clearance may be restricted.
Heated and humidified HFOT can be combined with PEP therapy.
Positive pressure therapies used in the treatment of postoperative respiratory failure – evidence for use and future directions.
Alastair J. Glossop, Paula Agostini. Read the full paper.
HFOT for the management of acute respiratory failure
Increasing evidence supports the benefits of HFOT for the treatment of patients with Type 1 and Type 2 respiratory failure.
Effectiveness of high-flow nasal oxygen therapy in management of acute hypoxemic and hypercapnic respiratory failure.
Ieva Norkiene, Raquel d’Espiney, Juan F. Martin-Lazaro. Read the full paper.
HFOT - High Flow Oxygen Therapy Options
Nasal cannula and tracheostomy options available.
AquaNASE®
AquaNASE® cannula for HFHOT can be supplied with AquaVENT® breathing systems in a complete Flowkit.
Patients can eat, drink, communicate and mobilise pulmonary secretions without disrupting therapy support. Heated humidification helps prevent drying of upper airway mucosa increasing patient comfort during oxygen therapy. Flows closer to a patient’s inspiratory demand reduces ambient air entrainment and oxygen dilution.
Use AquaNASE® during patients non-invasive ventilation rest periods for oral hygiene, hydration, feeding, physiotherapy and managed weaning.
Related Products
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| POINT High Flow | Spirale® | AquaVENT® VT | FD140i – 2nd Generation |
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Product Codes
HFOT
High Flow circuit and cannula kit
| Code Type | Code |
|---|---|
| Product Code | AMHO1509/008 |
Box Quantity: 10
HFOT - Cannula
High Flow cannula
| Code Type | Code |
|---|---|
| Product Code | AMNS2004 (S) |
Box Quantity: 120
HFOT - Cannula
High Flow cannula
| Code Type | Code |
|---|---|
| Product Code | AMNS2005 (M) |
Box Quantity: 120
HFOT - Cannula
High Flow cannula
| Code Type | Code |
|---|---|
| Product Code | AMNS2006 (L) |
Box Quantity: 120
HFOT
Humidified oxygen system
| Code Type | Code |
|---|---|
| Product Code | AMHO1509/002 |
Box Quantity: 10
Downloads
Product Literature
| File | Type | Size | Date |
|---|---|---|---|
Critical Care brochure |
1.85 MB | 13th Aug 2019 | |
Breathing Systems Catalogue v1 |
3.23 MB | 15th Sep 2020 | |
Hardware Systems - Catalogue / Medical Equipment |
2.93 MB | 24th Mar 2020 |
Guidance for use
| File | Type | Size | Date |
|---|---|---|---|
AM NeoFlow HFOT GFU |
761.82 KB | 23rd Jul 2019 |
Support Material
| File | Type | Size | Date |
|---|---|---|---|
AQUANASE |
79.69 KB | 13th Aug 2019 | |
Guide to High Flow |
974.93 KB | 14th Aug 2019 |