Effect of Humidified High Flow Nasal Cannula on Reintubation and Respiratory Failure after Extubation in COPD Patients
Xu Xiaocui
Wang Jinzhu
Yao Huiping
Abstract：Objective:To discuss the influence of humidified high flow nasal cannula on reintubation after extubation and respiration failure in patients with chronic obstructive pulmonary disease ( COPD) .Methods:A total of 86 ICU cases of COPD combined with acute respiratory failure were selected as the research subject.According to the random principle,they were divided into the control group and the observation group,43 in each group.After extubation,the control group was given a noninvasive breathing ventilator,and the observa-tion group received HHFNC after extubation.The blood gas status,ICU retention time,reintubation rate and the time of extubation to re-intubation after the first extubation were observed and compared between the two groups .Results:There were statistically significant differences in arterial oxygen pressure(PaO2),arterial carbon dioxide partial pressure(PaCO2),heart rate(HR)and respiratory rate (RR)between the observation group and the control group at 6 h and 12 h after extubation(P<0.05).Conclusion:HHFNC can obvi-ously improve the oxygenation status of COPD patients after extubation ,reduce the rate of reintubation and the time of hospitalization in ICU.
Keywords：Chronic obstructive pulmonary diseaseHumidified high flow nasal cannulaReintubationNursing
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1-3 )