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Laparoscopic Endoscopic Surgical Science Hiperkapnik Solunum Yetmezlii ve Yksek Akm Nazal Oksijen Tedavisi [Respir Case Rep]
Respir Case Rep. 2019; 8(1): 35-39 | DOI: 10.5505/respircase.2019.47113

Hiperkapnik Solunum Yetmezlii ve Yksek Akm Nazal Oksijen Tedavisi

Fatma rem Yeiler1, Deniz Kosoval2, mit Gkhan endur3, Abdlhamit Sutukolu3, Mustafa Kemal Bayar4
1Bakent niversitesi Tp Fakltesi, Anesteziyoloji ve Reanimasyon Anabilim Dal, Youn Bakm Bilim Dal, Ankara
2Malatya Eitim Ve Aratrma Hastanesi, Youn Bakm nitesi, Malatya
3anlurfa Eitim Ve Aratrma Hastanesi, Hastalklar Klinii, anlurfa
4Ankara niversitesi Tp Fakltesi, Anesteziyoloji Ve Reanimasyon Anabilim Dal, Youn Bakm Bilim Dal, Ankara

Akut hipoksemik solunum yetmezlikli hastalarda, konvansiyonel oksijen tedavisi yerine son yllarda stlm ve nemlendirilmi yksek akmda oksijenin nasal kanlle (HFNC) uygulanmas poplarite kazanmtr. Bu uygulama ile anatomik l boluk, nazofaringeal diren azalmas, pozitif ekspiratuar basn etki ve alveoler rekrtment salanr. Hastalarn konforu ve toleransn arttrd, solunum iini ve saysn azaltt ve deiik etyolojilere bal solunum yetersizliklerinde solunum desteini arttrma gereksinimini azaltt saptanmtr. Hiperkapnik solunum yetmezlikli hastalarda da solunum iini, solunum saysn azalttn, ventilasyon etkinliini, tidal volm ve egzersiz toleransn arttrdn gsteren almalar mevcuttur. ki olgumuzu da kronik obstrktif akcier hastalna bal hiperkapnik solunum yetmezliinde noninvaziv mekanik ventilasyon tedavisinin etkin olmad durumlarda yksek akmda oksijenin nasal kanlle uygulanmasnn etkinliini gstermek ve kullanmna ynelik farkndal arttrmak amacyla sunuyoruz.

Anahtar Kelimeler: Hiperkapnik solunum yetmezlii, tip 2 solunum yetmezlii, kronik obstrktif akcier hastal (KOAH), obstrktif akcier hastal, yksek akm nasal oksijen (HFNC)

Hypercapnic Respiratory Failure and High Flow Nasal Oxygen Therapy

Fatma rem Yeiler1, Deniz Kosoval2, mit Gkhan endur3, Abdlhamit Sutukolu3, Mustafa Kemal Bayar4
1Department of Anesthesiology and Reanimation, Intensive Care Unit, Baskent University, Ankara, Turkey
2Department Of Intensive Care Unit, Malatya Education And Research Hospital, Malatya,turkey
3Department Of Internal Medicine, Sanliurfa Education And Research Hospital, Sanliurfa, Turkey
4Department Of Anesthesia And Reanimation, Intensive Care Unit, Ankara University, Ankara, Turkey

The use of heated and humidified high-flow nasal cannula oxygen (HFNC) is increasingly popular in place of conventional oxygen therapy for patients with acute hypoxemic respiratory failure. HFNC oxygen rapidly alleviates symptoms of respiratory distress and the effort to breathe through several mechanisms, including dead space washout, reduction in inspiratory nasopharyngeal resistance, and a positive airway pressure effect that may generate alveolar recruitment. HFNC oxygen increases the comfort and tolerance of patients and reduces the requirement for respiratory support in patients with respiratory failure. Several studies have shown that HFNC oxygen may also reduce breathing effort and respiratory rate, and increase alveolar ventilation, tidal volume, and exercise tolerance in patients with hypercapnic respiratory failure. Presently described are 2 cases in which a HFNC system was used to successfully manage hypercapnic respiratory failure secondary to chronic obstructive pulmonary disease in 2 patients unable to tolerate conventional noninvasive mechanical ventilation. This report is presented in order to draw attention to the use of HFNC oxygen in patients with hypercapnic respiratory failure.

Keywords: Hypercapnic respiratory failure, Type 2 respiratory failure, chronic obstructive pulmonary disease (COPD), obstructive pulmonary disease, high flow nasal oxygen (HFNC)

Fatma rem Yeiler, Deniz Kosoval, mit Gkhan endur, Abdlhamit Sutukolu, Mustafa Kemal Bayar. Hypercapnic Respiratory Failure and High Flow Nasal Oxygen Therapy. Respir Case Rep. 2019; 8(1): 35-39

Sorumlu Yazar: Fatma rem Yeiler, Trkiye
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