Search

Sir, A high-flow nasal cannula (HFNC) has become to be widely used in intensive care units (ICUs) treating patients suffering from COVID-19. Nebulizer aerosol drug delivery through high flow nasal cannula in adult patients. To mitigate this difficult challenge, we made an assembly using HFNC circuit and T-piece jet nebulizer interface so that we can give the aerosolized drug through HFNC only instead of face mask interface which is not being accepted by the patient. [Extracted from the article]

Oxygen supplementation is required for approximately 14% of the patients diagnosed of having COVID-19 infection. Despite the use of conventional oxygen therapy, 5% among these require treatment in the intensive care unit (ICU). Here, we are describing a situation in which oxygen therapy was delivered to the patients by making an assembly of oxygen tubing, three-way stopcock, and high-flow nasal cannula (HFNC) present in the hospital setting following the malfunction of air blender of HFNC machine (Fig. 1). This assembly might be useful as rescue oxygen therapy during a malfunction of HFNC machine and in resource-limited settings where HFNC machine is not available. The mechanisms of action could be (1) washout of anatomic dead space due to medium oxygen flow, (2) improved gas mixing in large airways, and (3) increased oxygen concentration inside the conducting airway. [ABSTRACT FROM AUTHOR]