High-Flow Oxygen Therapy Concepts: Time to Standardize Nomenclature and Avoid Confusion

J Intensive Care Med. 2020 May;35(5):519-523. doi: 10.1177/0885066620908243. Epub 2020 Feb 27.

Abstract

High-flow nasal oxygen systems are rapidly being adopted as an initial noninvasive treatment for acute respiratory failure. However, the term "high-flow nasal cannula" is nonspecific and leads to imprecise communication between physicians, respiratory therapists, and nurses with the potential for patient harm. In this viewpoint and a brief review of the technology, we argue for a change in nomenclature in order to reduce the chance for future clinical, administrative, and research misunderstanding surrounding high-flow nasal oxygen systems.

Keywords: high-flow oxygen; noninvasive ventilation; respiratory failure.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Cannula*
  • Humans
  • Oxygen Inhalation Therapy*
  • Respiratory Insufficiency / therapy*
  • Terminology as Topic*