Abstract

SUAREZ, Susana Verónica et al. High-flow nasal cannula therapy in cystic fibrosis, a New Treatment Strategy. Rev. am. med. respir. [online]. 2020, vol.20, n.3, pp.275-278. ISSN 1852-236X.

We present the case of a patient with cystic fibrosis and type II chronic respiratory failure under treatment with hypertonic solution, DNAse, salbutamol, night NIV and 24-hour oxygen therapy. The patient consults for desaturation and cephalea in the context of changing NIV equipment. The patient begins treatment with HHHF and AVAPS and shows clinical improvement, decrease in oxygen requirements, decrease in PaCO2, less mucous plugging on the tomography and fluidifying of respiratory secretions. The HHHF is proposed as possible treatment strategy for patients with CF. By preventing damage to the mucosa and reducing inflammation and infections it could slow down impairment of the lung function.

Keywords : Heated humidified high flow; Cystic fibrosis; Hypercapnia.