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26 Results Found

  • Article
  • Open Access
3,655 Views
11 Pages

Optimizing Oxygen Delivery by Low-Flow Nasal Cannula to Small Infants: A Bench Study

  • Aris Bertzouanis,
  • Xenophon Sinopidis,
  • Polyxeni Pelekouda,
  • Ageliki Karatza,
  • Gabriel Dimitriou and
  • Sotirios Fouzas

Background: In infants treated with a low-flow nasal cannula (LFNC), the oxygen concentration delivered to the lungs (i.e., the effective FiO2) is difficult to estimate. The existing mathematical formulas rely on important assumptions regarding the v...

  • Article
  • Open Access
1 Citations
2,196 Views
9 Pages

ROX Index Variation as a Predictor of Outcomes in COVID-19 Patients

  • Augusto Maldonado,
  • Pablo Endara,
  • Patricio Abril,
  • Henry Carrión,
  • Carolina Largo and
  • Patricia Benavides

21 May 2024

Background: During the COVID-19 pandemic, emergency departments were overcrowded with critically ill patients, and many providers were confronted with ethical dilemmas in assigning respiratory support to them due to scarce resources. Quick tools for...

  • Article
  • Open Access
2 Citations
1,733 Views
7 Pages

2 August 2024

Background: While high-flow nasal cannulas (HFNCs) represent the standard of care in the intensive care unit for patients with severe hypoxemia, its use in homecare settings is uncommon despite its potential. The potential benefits and challenges of...

  • Article
  • Open Access
6 Citations
8,006 Views
10 Pages

19 September 2021

Background: Measuring the fraction of inspired oxygen (FiO2) is challenging in spontaneously breathing patients with impaired respiratory mechanics during low-flow nasal cannula. Our study investigates the FiO2 with varied tidal volume (VT) and respi...

  • Article
  • Open Access
5 Citations
3,541 Views
9 Pages

Nasal CPAP in the Pediatric Ward to Reduce PICU Admissions for Severe Bronchiolitis?

  • Melodie O. Aricò,
  • Diana Wrona,
  • Giovanni Lavezzo and
  • Enrico Valletta

13 October 2023

In treating acute bronchiolitis in infants, the decision to use continuous positive airway pressure (CPAP) often involves infant referral from the pediatric ward to the pediatric intensive care unit (PICU). We present our experience of CPAP use in a...

  • Review
  • Open Access
21 Citations
9,261 Views
12 Pages

Update on the Role of High-Flow Nasal Cannula in Infants with Bronchiolitis

  • Valentina Fainardi,
  • Lara Abelli,
  • Maria Muscarà,
  • Giovanna Pisi,
  • Nicola Principi and
  • Susanna Esposito

20 January 2021

Bronchiolitis (BR), a lower respiratory tract infection mainly caused by respiratory syncytial virus (RSV), can be very severe. Presently, adequate nutritional support and oxygen therapy remain the only interventions recommended to treat patients wit...

  • Article
  • Open Access
4 Citations
4,542 Views
13 Pages

High flow oxygen (HFO) therapy is a well-established treatment in respiratory disease. Concurrent aerosol delivery can greatly expediate their recovery. The aim of this work was to complete a comprehensive characterisation of one such HFO therapy sys...

  • Article
  • Open Access
2 Citations
4,312 Views
13 Pages

Preclinical Assessment of Nebulized Surfactant Delivered through Neonatal High Flow Nasal Cannula Respiratory Support

  • Francesca Ricci,
  • Arianna Mersanne,
  • Matteo Storti,
  • Marcello Nutini,
  • Giulia Pellicelli,
  • Angelo Carini,
  • Ilaria Milesi,
  • Marta Lombardini,
  • Raffaele L. Dellacà and
  • Fabrizio Salomone
  • + 4 authors

High-flow nasal cannula (HFNC) is a non-invasive respiratory support (NRS) modality to treat premature infants with respiratory distress syndrome (RDS). The delivery of nebulized surfactant during NRS would represent a truly non-invasive method of su...

  • Review
  • Open Access
913 Views
11 Pages

11 November 2025

Background/Objectives: Closed-loop automated oxygen control (CLAC) systems improve compliance with oxygen saturation targets and other outcomes in preterm ventilated infants. This narrative review aimed to explore the efficacy of CLAC systems in pret...

  • Article
  • Open Access
62 Citations
13,787 Views
13 Pages

15 December 2015

This paper presents a smart sensing strip for noninvasively monitoring respiratory flow in real time. The monitoring system comprises a monolithically-integrated flexible hot-film flow sensor adhered on a molded flexible silicone case, where a miniat...

  • Article
  • Open Access
6 Citations
5,486 Views
10 Pages

Low Oxygen Saturation of COVID-19 in Patient Case Fatalities, Limpopo Province, South Africa

  • Peter M. Mphekgwana,
  • Musa E. Sono-Setati,
  • Abdul F. Maluleke and
  • Sogo F. Matlala

13 May 2022

On 1 August 2020, South Africa’s Minister of Health announced that more than half of a million coronavirus cases were confirmed in the country. South Africa was by far the hardest-hit country in Africa, accounting for half of all infections rep...

  • Article
  • Open Access
22 Citations
7,600 Views
13 Pages

Risk Categories in COVID-19 Based on Degrees of Inflammation: Data on More Than 17,000 Patients from the Spanish SEMI-COVID-19 Registry

  • Manuel Rubio-Rivas,
  • Xavier Corbella,
  • Francesc Formiga,
  • Estela Menéndez Fernández,
  • María Dolores Martín Escalante,
  • Isolina Baños Fernández,
  • Francisco Arnalich Fernández,
  • Esther Del Corral-Beamonte,
  • Antonio Lalueza and
  • on behalf of the SEMI-COVID-19 Network
  • + 16 authors

20 May 2021

(1) Background: The inflammation or cytokine storm that accompanies COVID-19 marks the prognosis. This study aimed to identify three risk categories based on inflammatory parameters on admission. (2) Methods: Retrospective cohort study of patients di...

  • Systematic Review
  • Open Access
19 Citations
5,282 Views
20 Pages

Awake Prone Positioning, High-Flow Nasal Oxygen and Non-Invasive Ventilation as Non-Invasive Respiratory Strategies in COVID-19 Acute Respiratory Failure: A Systematic Review and Meta-Analysis

  • Benedikt Schmid,
  • Mirko Griesel,
  • Anna-Lena Fischer,
  • Carolina S. Romero,
  • Maria-Inti Metzendorf,
  • Stephanie Weibel and
  • Falk Fichtner

13 January 2022

Background: Acute respiratory failure is the most important organ dysfunction of COVID-19 patients. While non-invasive ventilation (NIV) and high-flow nasal cannula (HFNC) oxygen are frequently used, efficacy and safety remain uncertain. Benefits and...

  • Systematic Review
  • Open Access
11 Citations
3,104 Views
26 Pages

3 July 2022

(1) Background: High-flow nasal cannula (HFNC) therapy or conventional oxygen therapy (COT) are typically applied during gastrointestinal (GI) endoscopic sedation. (2) Methods: We conducted a rigorous systematic review enrolling randomized controlled...

  • Review
  • Open Access
572 Views
17 Pages

High-flow nasal cannula (HFNC) therapy is frequently described as a positive pressure modality, yet this classification lacks mechanistic support. This critical narrative review integrates experimental, computational, and clinical evidence to examine...

  • Article
  • Open Access
7 Citations
2,808 Views
16 Pages

The Use of High-Flow Nasal Cannula and Non-Invasive Mechanical Ventilation in the Management of COVID-19 Patients: A Prospective Study

  • Sumalatha Arunachala,
  • Ashwaghosha Parthasarathi,
  • Chetak Kadabasal Basavaraj,
  • Sowmya Malamardi,
  • Shreya Chandran,
  • Hariharan Venkataraman,
  • Mohammed Kaleem Ullah,
  • Koustav Ganguly,
  • Swapna Upadhyay and
  • Padukudru Anand Mahesh

5 September 2023

High-flow nasal cannula (HFNC) and ventilator-delivered non-invasive mechanical ventilation (NIV) were used to treat acute respiratory distress syndrome (ARDS) due to COVID-19 pneumonia, especially in low- and middle-income countries (LMICs), due to...

  • Article
  • Open Access
4 Citations
2,211 Views
11 Pages

21 March 2022

Recurrent clinical deterioration and repeat medical emergency team (MET) activation are common and associated with high in-hospital mortality. This study assessed the predictors for repeat MET activation in deteriorating patients admitted to a genera...

  • Feature Paper
  • Review
  • Open Access
2,127 Views
19 Pages

21 October 2025

Weaning from invasive mechanical ventilation (IMV) is a key element in the management of critically ill patients, encompassing the entire process of discontinuing IMV. Despite its importance, considerable uncertainties remain regarding the optimal st...

  • Article
  • Open Access
5 Citations
2,193 Views
13 Pages

Barotrauma during Noninvasive Respiratory Support in COVID-19 Pneumonia Outside ICU: The Ancillary COVIMIX-2 Study

  • Luigi Vetrugno,
  • Cristian Deana,
  • Nadia Castaldo,
  • Alberto Fantin,
  • Alessandro Belletti,
  • Emanuela Sozio,
  • Maria De Martino,
  • Miriam Isola,
  • Diego Palumbo and
  • COVIMIX-STUDY Group
  • + 7 authors

25 May 2023

Background: Noninvasive respiratory support (NIRS) has been extensively used during the COVID-19 surge for patients with acute respiratory failure. However, little data are available about barotrauma during NIRS in patients treated outside the intens...

  • Article
  • Open Access
213 Views
11 Pages

The Role of High-Flow Nasal Cannula (HFNC) During Flexible Bronchoscopy in Adult Patients with Moderate Respiratory Dysfunctions: An Observational Study

  • Francesco Coppolino,
  • Pasquale Sansone,
  • Gianluigi Cosenza,
  • Simona Brunetti,
  • Francesca Piccialli,
  • Marco Fiore,
  • Clelia Esposito,
  • Maria Caterina Pace and
  • Vincenzo Pota

7 January 2026

Background/Objectives: Flexible bronchoscopy (FB) enables airway exploration and diagnosis of various respiratory pathologies, but the sedation and instrumentation required during the procedure raise oxygen demand while reducing ventilation, which ca...

  • Article
  • Open Access
22 Citations
4,421 Views
11 Pages

Real-World Effectiveness and Optimal Dosage of Favipiravir for Treatment of COVID-19: Results from a Multicenter Observational Study in Thailand

  • Pinyo Rattanaumpawan,
  • Supunnee Jirajariyavej,
  • Kanokorn Lerdlamyong,
  • Nattawan Palavutitotai and
  • Jatuporn Saiyarin

Favipiravir is a broad-spectrum oral antiviral agent that shows in vitro activity against SARS-CoV-2. Presently, data on the real-world effectiveness and optimal dosage of favipiravir for treating COVID-19 are limited. We conducted a retrospective ob...

  • Article
  • Open Access
2,284 Views
11 Pages

High-Flow Nasal Cannula in Weaning Patients from Mechanical Ventilation in Head and Neck Surgery: Retrospective Study

  • Vincenzo Pota,
  • Francesco Coppolino,
  • Luca Gregorio Giaccari,
  • Manlio Barbarisi,
  • Marco Fiore,
  • Mario Santagata,
  • Maria Beatrice Passavanti,
  • Maria Caterina Pace,
  • Luigi Rugge and
  • Caterina Aurilio
  • + 2 authors

10 August 2025

Background: Patients undergoing head and neck surgery with free flap reconstruction are at a high risk for postoperative respiratory complications, including hypoxemia. Conventional oxygen therapy (COT) and non-invasive ventilation (NIV) may be poorl...

  • Systematic Review
  • Open Access
561 Views
16 Pages

High-Flow Nasal Cannula Outside the ICU: A Systematic Review and Meta-Analysis

  • Andrea Boccatonda,
  • Alice Brighenti,
  • Damiano D’Ardes and
  • Luigi Vetrugno

23 December 2025

Background: Use of high-flow nasal cannula (HFNC) expanded from ICUs to internal medicine/respiratory wards during and after the COVID-19 pandemic, but safety and effectiveness in non-ICU settings remain uncertain. Methods: We performed a systematic...

  • Review
  • Open Access
7 Citations
13,663 Views
17 Pages

6 November 2024

Interstitial lung disease (ILD) encompasses a diverse group of parenchymal lung diseases characterized by varying degrees of inflammation and/or fibrosis. Patients with ILD frequently require hospitalization, with many needing intensive care unit (IC...

  • Article
  • Open Access
1 Citations
1,661 Views
19 Pages

Predicting Severe Respiratory Failure in Patients with COVID-19: A Machine Learning Approach

  • Bahadır Ceylan,
  • Oktay Olmuşçelik,
  • Banu Karaalioğlu,
  • Şule Ceylan,
  • Meyha Şahin,
  • Selda Aydın,
  • Ezgi Yılmaz,
  • Rıdvan Dumlu,
  • Mahir Kapmaz and
  • Ali Mert
  • + 3 authors

4 December 2024

Background/Objectives: Studies attempting to predict the development of severe respiratory failure in patients with a COVID-19 infection using machine learning algorithms have yielded different results due to differences in variable selection. We aim...

  • Article
  • Open Access
3 Citations
2,488 Views
12 Pages

Respiratory Support Effects over Time on Regional Lung Ventilation Assessed by Electrical Impedance Tomography in Premature Infants

  • Ernestas Virsilas,
  • Arunas Valiulis,
  • Raimondas Kubilius,
  • Skaiste Peciuliene and
  • Arunas Liubsys

17 March 2024

Background and objectives: Respiratory distress syndrome (RDS) frequently necessitates respiratory support. While non-invasive methods are typically the preferred approach, mechanical ventilation becomes necessary for patients with insufficient respo...