As we normally extubate chf, copd home o2 dependent patients to bipap and then transition them to nasal cannula- does any one of you have experience extubating the patients to nasal cannula ?
As high flow nasal cannula also has a peep effect and might be useful.
thank you
It makes perfect sense to me sir to extubate to HFNC. It is much less invasive and with the ability to give 100% FIO2 and up to 40 or 50 Liters, depending on your facilities policy, it is a very good substitute for the bipap. If you habe been weaning to PS/peep ventilation only prior to extubation, then aren’t you essentially already in bipap mode? If you are weaning to PS on the vent then extubating, are you not just repeating the same ventilation mode twice by going to bipap thus wasting your time, supply, and adding to patient costs? It just seems pointless to do so if you have weaned from vent In that mode. HFNC is able to generate the cpap effect and the patient is much more comfortable with it vs the bipap. With it having the capability to be giving 100% FIO2 and tons of flow. It seems like the logical next step to em and one I always prefer. Thank you for all your researc!