• Medicina clinica · Jun 2022

    Case Reports

    Benefits of early use of high-flow-nasal-cannula (HFNC) in patients with COVID-19 associated pneumonia.

    • Laura García-Pereña, Violeta Ramos Sesma, María Lucía Tornero Divieso, Alfonso Lluna Carrascosa, Sara Velasco Fuentes, and Jorge Parra-Ruiz.
    • Servicio de Medicina Interna, Hospital HLA Inmaculada, Granada, España.
    • Med Clin (Barc). 2022 Jun 10; 158 (11): 540-542.

    IntroductionSevere COVID-19 is associated with hypoxemic bilateral pneumonia that leads to mechanical ventilation in a considerable proportion of patients. To the best of our knowledge, there are no recommendations about the best time to initiate high flow nasal cannula (HFNC).Patients And MethodsRetrospective study of all patients admitted for COVID-19 pneumonia who required HNFO between March 2020 and February 2021. Patients were grouped in early HNFC or late HNFC, according to the modified Kirby index.Results53 patients were included. Forty-four of them were included in the early HFNC and 9 in late HNFC. There were no statistically significant clinical-epidemiological differences. Early use of HFNC was associated with a decrease in the need for intubation (29.5 vs. 66.6%, p = 0.044), hospital stay (18.8 d vs. 36 d, p = 0.022) and mortality (22.7 vs. 55.5%, p = 0.061).ConclusionsEarly HFNC use is associated with a decrease in the need for intubation, mortality and overall hospital stay.Copyright © 2021 Elsevier España, S.L.U. All rights reserved.

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