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Pneumologie 2020; 74(03): 137-148
DOI: 10.1055/a-1065-6385
Serie: Intensivmedizin
© Georg Thieme Verlag KG Stuttgart · New York

Differenzialtherapie nicht-invasive Beatmung – nasale High-Flow-Therapie

Differential Therapy NIV – NHF
J. Bräunlich
1   Medizinische Klinik, Klinikum Emden gGmbH, Emden
,
H. Wirtz
2   Abt. Pneumologie, Universitätsklinikum Leipzig AöR, Leipzig
› Author Affiliations
Subject Editor: S. Kluge
Further Information

Publication History

Publication Date:
09 January 2020 (online)

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Zusammenfassung

Der nasale High-Flow führt zu einer stabilen Sauerstoffzufuhr bei der akuten hypoxämischen respiratorischen Insuffizienz, reduziert die Atmungsarbeit und vermindert die Hyperkapnie. Damit geht der NHF über ein reines Oxygenierungssystem hinaus und zeigt Charakteristika einer Atmungsunterstützung. Verschiedene Untersuchungen unterstützen diese These. Dieser Artikel soll daher diskutieren, ob der NHF in ähnlichen Situationen oder Erkrankungen wie die NIV eingesetzt werden kann.

Abstract

Nasal high-flow provides a stable oxygenation in acute hypoxemic respiratory failure, modifies breathing patterns, reduces work of breathing and can decrease hypercapnia. Thereby NHF provides more features than low-flow oxygen and acts as a ventilatory support device. Different studies show benefits of NHF compared to NIV. For these reasons we will discuss the capabilities of NHF and NIV in selected settings.

 

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