Optiflow™
nasal high flow therapy

Proven* respiratory support

*A review of studies comprising the body of NHF evidence found the majority used F&P Optiflow™ systems



High flow nasal cannula (HFNC), high flow therapy (HFT), high flow oxygen/therapy (HFO/T), nasal high flow (NHF), high flow nasal prongs (HFNP), high flow oxygen (HFO), humidified high flow nasal cannula (HHFNC), heated, humidified high flow nasal cannula (HHHFNC), humidified high flow therapy (HHFT), nasal insufflation or just plain high flow (HF).

While many terms are used for this therapy, one name stands out as the way to deliver it: Optiflow NHF therapy

Optiflow NHF therapy from Fisher & Paykel Healthcare is at the forefront of its field, featuring in hundreds of publications and prestigious journals such as NEJM and JAMA.

Using Optiflow NHF therapy as a first-line treatment (both pre-intubation and post-extubation) may reduce a patient's escalation "up the acuity curve", resulting in better patient outcomes.

 

 

Clinical Practice Guidelines for Nasal High Flow

 

Current Best Evidence

(Rochwerg et al. 2020. Intensive Care Med.)

This clinical practice guideline (Rochwerg et al. 2020.
Intensive Care Med.) synthesizes current best evidence
into four recommendations for NHF in adult patients.

Visual Abstract

Get a quick overview with our graphic summary of the study.

Acute hypoxemic
respiratory failure

For primary respiratory support compared to COT.
Recommendation made with moderate certainty.



 

 Strong Recommendation 

Post-operative


For primary respiratory support compared to COT in high risk and/or obese patients following cardiac or thoracic surgery.
Recommendation made with moderate certainty.



 Conditional Recommendation 
Peri-intubation


For pre-oxygenation prior to in-ICU intubation no recommendation is made compared to COT.
NHF during intubation should be continued for patients who are already receiving NHF.*


 Continue NHF* 
Post-extubation
respiratory failure


For post-extubation respiratory support compared to COT following extubation.
Recommendation made with moderate certainty.




 Conditional Recommendation 

*For patients who are already receiving NHF, guideline authors suggest continuing NHF during intubation (conditional recommendation, moderate certainty).

Flow Matters

In this edition of Flow Matters, we take a look at the recommendations, discuss the evidence-practice gap and the economics of NHF as well as determine what NHF technology was used to establish the guidelines.
 

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Optiflow in Practice

Optiflow™ Nasal High Flow at the Royal Berkshire Hospital (Optiflow Page)

A multi-department implementation of Optiflow NHF therapy

This video shows the introduction of the Airvo 2 device across departments of the Royal Berkshire Hospital in Reading, UK. Hospital clinicians talk about the benefits for the hospital and its patient since the Airvo 2 was introduced.
Dr. Jean Frat - NHF for post-extubation support (Optiflow Page)

Extubation to Optiflow NHF therapy: Dr Hernández

This video depicts extubation to Optiflow NHF therapy, and is based on the procedure used by Dr. Hernández and his colleagues in the following studies: Hernández et al. JAMA. 2016 (April)1 and Hernández et al. JAMA 2016 (Oct.)2
An Interview with Jean-Pierre Frat

An interview with Dr. Jean-Pierre Frat

Frat, the chief investigator of the landmark FLORALI study, talks to us about his experience as a researcher and clinician, while reflecting on a decade of using NHF.

ROX Index Explained

The ROX index can be used to monitor patients and predict the likelihood of NHF therapy success or failure. 

It combines three common measurements: FiO2, SpO2, and respiratory rate, and it is based on two known facts about sicker patients. 1. They require more oxygen. 2. They have a higher respiratory rate.

The index has been validated in a multi-center prospective study conducted with 191 patients with pneumonia.*

Read Online  Download PDF




 




ROX* Index
Calculator
app

 
Use the ROX Index
Calculator app

to learn about
entering the
parameters
and calculating the
index.




 
 




ROX* Vector
app

 
Use the ROX
Vector app 
to learn
about visualizing trends
in the parameters
over time.




 
Search our FAQs

 

Apps/PDFs/Videos


ROX Index* Calculator app

Free and available from the app Store and Google Play


ROX Vector* app

Free and available from the app Store and Google Play

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1800 446 3908 / +1949 453 4000



or get in touch by email

 


 

Optiflow Nasal High Flow

 
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The outbreak of COVID-19 has impacted healthcare organizations around the world

A resource center has been created to provide affected hospitals and healthcare professionals with information they may need to treat patients when using Fisher & Paykel Healthcare products.
 

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