EXPERIENCE WITH THE USE OF HIGH-FLOW NASAL CANNULAS IN ADULT PATIENTS WITH COVID-19, HOSPITAL UNIVERSITARIO SAN IGNACIO – BOGOTÁ, D.C. 2020 TO 2022
Experiencia con el uso de cánulas nasales de alto flujo en pacientes adultos con COVID-19, Hospital Universitario San Ignacio – Bogotá, D.C. 2020 a 2022
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The COVID-19 pandemic made health personnel look for new and suitable uses for current devices to treat patients suffering from this pathology. High-flow nasal cannulas became a device that supported therapy against hypoxemia in patients with COVID-19, as has been demonstrated around the world in different pathologies.
The presentation of COVID-19 is that of a respiratory infection with symptoms ranging from a mild illness, similar to the common cold, to a severe, potentially fatal viral pneumonia (1). Although most people with SARS-CoV-2 have mild illness (81%), some will develop severe illness requiring oxygen therapy (14%) and others will require treatment in intensive care units and invasive mechanical ventilation (5% ). ). The most common diagnosis in patients with severe COVID-19 is severe pneumonia (2).
Considering the impact that this pathology has had on the world and the increased need for mechanical ventilation and its complications, it is necessary to know if the use of new therapies reduces the need for orotracheal intubation and the mortality of patients with COVID-19.
For this reason, we describe the experience at the San Ignacio University Hospital with the use of HFNC in adult patients with COVID-19 and the impact on the need for IOT and mortality.
This study presents a detailed analysis of 604 patients diagnosed with COVID-19 confirmed by RT-PCR or antigen at the time of admission, in whom the high-flow nasal cannula was used as a ventilatory support strategy, with the objective of identifying characteristics . clinical and prognostic factors associated with critical outcomes. Demographic variables, comorbidities, clinical and paraclinical parameters, as well as the relationship between the need for interventions such as high-flow nasal cannula with orotracheal intubation and mortality were examined.
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