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Nasal Cannula

Discussion in 'Ambulances and Equipment' started by ThadeusJ, Jun 20, 2013.

  1. ThadeusJ

    ThadeusJ Forum Lieutenant

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    Had an interesting discussion about the preferred style of "nose hose" aka nasal cannula.

    There are a million shapes and style out there and most often they are purchased based on price. If you had the choice, what's your preference: straight, curved, flared/non-flared, long...

    No one usually cares until they get a set that they can't stand...so what are your preferences?
     
  2. Arovetli

    Arovetli Forum Captain

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    I didn't know anyone cared that much tiny plastic tips that rest up in a stranger's snout.


    Interested to hear from those who do....
     
  3. MMiz

    MMiz I put the M in EMTLife Community Leader

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    It was never an issue in the pre-hospital setting. Patients were never on O2 long enough to care.

    IFT, discharges, and dialysis patients were more picky about their nasal cannulas, though I never noticed a style patients preferred.
     
  4. JPINFV

    JPINFV Gadfly

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    The cheapest one available.
     
  5. Jim37F

    Jim37F Forum Deputy Chief

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    I've always heard "nose hose" as an NPA, not a cannula...
     
  6. MMiz

    MMiz I put the M in EMTLife Community Leader

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    Oops, my bad. You're right, I think this thread is about NPAs.
     
  7. Anjel

    Anjel Forum Angel

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    Pretty sure it's about nasal cannulas.
     
  8. Medic Tim

    Medic Tim Forum Deputy Chief Premium Member

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    The 911 service I wotk pt for just got new ones. They are super short and are stiff so they like to coil and get in the way. kind of annoying but manageable.
     
  9. Chase

    Chase RN

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    HHFNC @ 60lpm :blink:


    But for real it works wonders on hypoxemic distress and non-compliment BiPAP patients.
     
  10. Rialaigh

    Rialaigh Forum Asst. Chief

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    The ones with the longest tube length
     
  11. JPINFV

    JPINFV Gadfly

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    #ThatsWhatSheSaid
     
  12. abckidsmom

    abckidsmom Dances with Patients

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    We recently got a shipment of cannula a with elastic bands that go around the patients head. Those suck. That ends my real strong opinion base about nasal cannulae.

    Which are not nose hoses. :) that's an NPA.
     
  13. ThadeusJ

    ThadeusJ Forum Lieutenant

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    Thanks for the feedback and yes, I meant nasal cannula.

    As I mentioned in the initial inquiry, most people don't care until there's an issue and then they're cranky. Although it hard to screw up cannula, someone, somewhere will find a way...I never thought about elastic straps...someone thought it was a good idea...
     
  14. Anjel

    Anjel Forum Angel

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    I prefer this one

    [​IMG]
     
  15. Clipper1

    Clipper1 Forum Asst. Chief

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    Those with the elastic straps may not cause as much damage around the ear as easily as those which loop plastic around them. Sometimes even two hours with the NC on can mean the start of skin break down which then will have to be reported.

    In EMS for the short time, rarely is it an issue. But, if your NC is one of the stiffer types, these may need to be changed quickly to something more comfortable and less chance of skin breakdown once in the hospital. But then again that is not something you will need to be concerned about.
     
  16. Clipper1

    Clipper1 Forum Asst. Chief

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    That one is excellent but at $10 each it might not be the best for EMS. Many of our home care patients use this for comfort when awake (difficult to sleep with if a side sleeper) and it doesn't look like a nasal cannula at first glance in public. It is also capable of higher flows which might be needed in home care for those with pulmonary HTN, fibrosis and end stage COPD.

    The Oxymizer is also great but expensive although worth every penny in home health or nursing homes which do not have piped in O2.
     
  17. DEmedic

    DEmedic Agent of change.

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    NC with ETCO2.
    "Anything else is just oxygen!"™

    [​IMG]
     
  18. Clipper1

    Clipper1 Forum Asst. Chief

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    Are all BLS trucks now able to monitor ETCO2? If not then it might not be cost effective to purchase something which is more expensive.
     
  19. Anjel

    Anjel Forum Angel

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    If you have no BLS trucks at your company, and encourage ETCO2 monitoring for any patient requiring oxygen. Than this seems to make perfect sense. Kill 2 burns with one stone.
     
  20. STXmedic

    STXmedic Forum Burnout Premium Member

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    [​IMG]
     

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