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  4. EFFECTS OF COMBINED RESPIRATORY PHYSIOTHERAPY WITH HIGH-FLOW NASAL CANNULA AND VENTURI MASK IN SPINAL CORD INJURY: A SINGLE-SUBJECT RESEARCH STUDY AND LITERATURE REVIEW

EFFECTS OF COMBINED RESPIRATORY PHYSIOTHERAPY WITH HIGH-FLOW NASAL CANNULA AND VENTURI MASK IN SPINAL CORD INJURY: A SINGLE-SUBJECT RESEARCH STUDY AND LITERATURE REVIEW

European Journal of Case Reports in Internal Medicine, 2024 · DOI: 10.12890/2024_004891 · Published: October 10, 2024

Spinal Cord InjuryPharmacologyPulmonology

Simple Explanation

This study presents a case of a 58-year-old man with a spinal cord injury who experienced respiratory failure and was treated with a combination of high-flow nasal cannula (HFNC) and Venturi mask (VM) oxygen therapy. The protocol involved alternating between HFNC during nighttime and VM during daytime to improve oxygenation and facilitate motor rehabilitation. The combined approach led to improved respiratory function, allowing for weaning from ventilation devices and enabling more intensive motor training.

Study Duration
Not specified
Participants
A 58-year-old man
Evidence Level
Single-subject research study and literature review

Key Findings

  • 1
    The combined protocol of nighttime oxygen with high flow cannula and daytime Venturi mask improves intensive motor training of patients.
  • 2
    The patient progressed from a bedridden state to being able to tolerate a sitting position, perform chair/bed transitions, achieve a standing position, and begin gait training.
  • 3
    The patient experienced a gradual weaning from high flows and oxygen therapy during the daytime, along with a reduction in overnight FiO2.

Research Summary

This case study presents a respiratory rehabilitation treatment involving combined oxygen therapy (O2) administered by high flow cannula (HFC) and Venturi mask (VM) in a patient with cervical spinal cord injury (SCI) and respiratory failure. The patient, a 58-year-old man, underwent tracheostomy and had tetraparesis following complications from a surgical procedure; a respiratory rehabilitation program was initiated using alternating O2-HFC and O2-VM during daytime hours. The results showed gradual improvement in respiratory function, leading to weaning from the Venturi mask and a decrease in the high-flow fraction of inspired oxygen during nighttime, ultimately enabling more intensive motor training and improved mobility.

Practical Implications

Improved Motor Training

The combined oxygen therapy protocol allows for more intensive motor training, leading to better motor outcomes.

Enhanced Patient Tolerance

The gradual weaning process improves the patient's tolerance to training, increasing their endurance.

Potential for SCI Rehabilitation

This approach may offer a promising avenue for respiratory rehabilitation in patients with severe SCI and respiratory failure.

Study Limitations

  • 1
    Single case study limits generalizability
  • 2
    More research is needed to confirm the findings
  • 3
    Long-term effects of the combined therapy are not evaluated

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