Description

• Title:
  Modern Approach to the Treatment of Acute Respiratory Failure – from nasal cannula to ECMO
• Creator:
  Gruszka, Szymon;
  Wolff, Anna;
  Bryła, Karolina;
  Szewczyk, Marcelina;
  Udziela-Gil, Helena;
  Lewandowska, Dominika;
  Rosińska-Lewandoska, Dominika;
  Ufnal, Julia;
  Drewko, Klaudia;
  Olkowski, Michał
• Description:
  Introduction Respiratory failure is a major healthcare issue, significantly threatening patient life. Early diagnosis and appropriate oxygen therapy are critical for improving prognosis. This article aims to summarize and compare current oxygen therapy methods and their clinical indications. Material and Methods Oxygen therapy methods were discussed in the context of acute respiratory failure in the emergency department. The therapies reviewed included conventional oxygen therapy (COT), high-flow nasal oxygen therapy (HFNOT), noninvasive ventilation (NIV), invasive ventilation, and extracorporeal membrane oxygenation (ECMO). Indications were based on the latest guidelines from the European Respiratory Society, American Thoracic Society, and other medical organizations. Results High-flow nasal oxygen therapy (HFNOT) is superior to conventional oxygen therapy in treating acute hypoxemic respiratory failure, reducing the need for therapy escalation. Noninvasive ventilation (NIV) is effective for patients with respiratory acidosis and COPD exacerbations. ECMO is a life-saving option when other treatments fail, but its use is limited to patients with reversible causes of respiratory failure. Conclusions The choice of oxygen therapy depends on the patient's clinical condition. Modern approaches, such as HFNOT and NIV, offer advantages in reducing mortality and the need for invasive ventilation in acute respiratory failure, compared to traditional therapies. ECMO remains effective in severe cases but is reserved for specific indications. Further research is needed to optimize oxygen therapy use, focusing on reducing mortality and complications.
• Object availability:
  free access
• Rights:
  Prawa autorskie (c) 2025 Szymon Gruszka, Anna Wolff, Karolina Bryła, Marcelina Szewczyk, Helena Udziela-Gil, Dominika Lewandowska, Dominika Rosińska-Lewandoska, Julia Ufnal, Klaudia Drewko, Michał Olkowski;
  https://creativecommons.org/licenses/by-nc-sa/4.0
• Date:
  2025.04.10
• Type:
  info:eu-repo/semantics/article;
  info:eu-repo/semantics/publishedVersion
• Language:
  English
• Source:
  Journal of Education, Health and Sport; Vol. 80 (2025); 57771;
  Journal of Education, Health and Sport; Tom 80 (2025); 57771;
  2391-8306
• Format:
  application/pdf
• Publisher:
  Nicolaus Copernicus University, Toruń, Poland
• Relation: https://apcz.umk.pl/JEHS/article/view/57771/42154
• Subject:
  respiratory failure;
  Non-invasive ventilation NIV;
  extracorporeal membrane oxygenation;
  intubation
• Identifier: https://apcz.umk.pl/JEHS/article/view/57771
• Data provider:
  Akademicka Platforma Czasopism
• Can I use it?:
  seek permission
• Type:
  text