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KMID : 1034320150060010042
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Sleep Medicine Research
2015 Volume.6 No. 1 p.42 ~ p.44
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High Flow Nasal Cannula Therapy for Improving Obstructive Sleep Apnea: A Case Report
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Kim Se-Joong
Min Jin-Soo
Park Ji-Soo
Lee Yeon-Joo
Park Jong-Sun
Cho Young-Jae
Yoon Ho-Il
Lee Jae-Ho
Lee Choon-Taek
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Abstract
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Although continuous positive airway pressure is the treatment of choice for obstructive sleep apnea, its compliance is low. Therefore, alternative therapeutic strategies are often required. High flow nasal cannula therapy uses an air compressor to deliver a constant flow of oxygen via the nasal cannula at a maximum of 60 L/m. It can produce positive end expiratory pressure and increase end expiratory pharyngeal pressure, which can help to alleviate upper airway obstruction. This is a case report of high flow nasal cannula therapy for a 71 year-old man. He had an obstructive sleep apnea and severe desaturation but failed to use continuous positive airway pressure. He underwent titration with high flow nasal cannula under polysomnography. Using high flow nasal cannula at an airflow of 45 L/m, his apnea-hypopnea, respiratory arousal and oxygen desaturation were improved. Importantly, he is very compliant with high flow nasal cannula therapy.
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KEYWORD
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Obstructive sleep apnea, High flow nasal cannula, Continuous positive airway pressure
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