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Nasal Cannula (NC)
-Remove/Disconnect:Yes, temporary line management and organization
-Purpose/Flow: 0.25-6.0LPM or
0.24 – 0.44 FiO2
-Common Problems:Epistaxis, obstruction of nares limits flow, skin breakdown above ears
-Precautions/Contraindications: Limited flow rate (6LPM), hygiene, delivery rate dependent on patient RR
Hi-Flow Nasal Cannula (HFNC)
-Remove/Disconnect: Yes, temporary line management and organization
-Purpose/Flow: 6 – 15LPM
-Common Problems: Epistaxis, nasal irritation, skin breakdown above ears
-Precautions/Contraindications: Hyperoxemia, Limited flow rate (15LPM), delivery rate dependent on patient RR
Venturi Mask (VM)
-Remove/Disconnect: Yes, temporary line management and organization
-Purpose/Flow: 0.24 – 0.50 FiO2
-Common Problems: Inability to feed, claustrophobia
-Precautions/Contraindications: Hyperoxemia, FiO2 limitation, delivery rate dependent on patient RR
Oxymizer
-Remove/Disconnect: Yes, temporary line management and organization
-Purpose/Flow: 0.25 – 15LPMPotentially reduce amount of oxygen flow required due to reservoir and larger lumen
-Common Problems: Nasal irritation, Epistaxis
-Precautions/Contraindications: Limited flow rate (15LPM), delivery rate dependent on patient RR
Partial Rebreather (PRB)
-Remove/Disconnect: Yes, temporary line management and organization
-Purpose/Flow: 7 – 25LPM
-Common Problems: Inability to feed, claustrophobia
-Precautions/Contraindications: Limited flow rate (25LPM), delivery rate dependent on patient RR
Hi-Flow (OptiFlow)
-Remove/Disconnect: Yes, if alternate O2 device is readily available
-Purpose/Flow: Ability to deliver specific FiO2 a with humidification and warmth (100% FiO2)
-Common Problems: Claustrophobia, irritation, requires proximity to high-flow O2 system, bulky equipment
-Precautions/Contraindications: Hyperoxemia, nasal irritation
Tracheostomy Tube
-Remove/Disconnect: No, requires RT if plan to switch to portable ventilator
-Purpose/Flow: Maintains patent airway, provides positive pressure and supplemental O2
-Common Problems: Causes gag, mucous plug, , cuff leaks, barotrauma
-Precautions/Contraindications: Avoid pressure or moving tube, ensure security prior to mobilization (CONTRAINDICATION)
Endotracheal Tube (ETT)
-Remove/Disconnect: No, requires RT if plan to switch to portable ventilator,
-Purpose/Flow: Placed for anticipated long term mechanical support, can allow for patient speech (passy-muir valve)
-Common Problems: Mucous plug, cuff leaks, bleeding
-Precautions/Contraindications:
-Avoid pressure or moving tube, ensure security prior to mobilization (CONTRAINDICATION)
-Note the incremental markings on ETT for migration