What are thoughts on the use of high flow nasal cannula in COVID positive and PUI? We are still prohibiting this treatment modality based on the initial recommendations from Wuhan, though other sources seem to think it’s OK?
At this moment in time
- For smaller kids we are using HFNC (as the flow rates are lower compared to adolescents and adults) but switching earlier to other modes of non-invasive measures like cpap/bipap via RAM cannula/full face.
- For adults a strict no, since the flow rates are markedly higher.
We are also prohibiting use of HFNC in PUI and Covid +ve. IF worsening respiratory status we intubate patient and use lung protective vent strategy in our ICU.
SCCM Initial Management of hypoxic COVID-19 patient.
Hope this helps.
We are not using HFNC at our institution for Presumed or COVID-19 +'ve patients. This was an institutional decision.