Transport of an adult with severe respiratory failure on high-flow nasal prongs during a prolonged aeromedical evacuation: A case study

Published:October 29, 2022DOI:


      This case describes the use of high-flow oxygen delivered via nasal prongs in the management of an adult patient with severe undifferentiated respiratory failure for the purposes of prolonged air medical transfer.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Air Medical Journal
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Frat JP
        • Coudroy R
        • Marjanovic N
        • Thille AW.
        High-flow nasal oxygen therapy and noninvasive ventilation in the management of acute hypoxemic respiratory failure.
        Ann Transl Med. 2017; 5: 297
        • Frat JP
        • Thille AW
        • Mercat A
        • et al.
        High-flow oxygen through nasal cannula in acute hypoxemic respiratory failure.
        N Engl J Med. 2015; 372: 2185-2196
        • Andino R
        • Vega G
        • Pacheco SK
        • et al.
        High-flow nasal oxygen reduces endotracheal intubation: a randomized clinical trial.
        Ther Adv Respir Dis. 2020; 141753466620956459
        • Reimer AP
        • Simpson B
        • Brown AS
        • et al.
        High-flow nasal cannula in transport: process, results, and considerations.
        Air Med J. 2022; 41: 42-46
        • Lodestone FJ
        • Lettich TM
        • Rezaie SR.
        High-flow nasal cannula: mechanisms of action and adult and pediatric indications.
        Cureus. 2018; 10: e3639
        • Ricard JD
        • Roca O
        • Lemiale V
        • et al.
        Use of nasal high flow oxygen during acute respiratory failure.
        Intensive Care Med. 2020; 46: 2238-2247
        • Coggins AR
        • Cummins EN
        • Burns B.
        Management of critical illness with non-invasive ventilation by an Australian HEMS.
        Emerg Med J. 2016; 33: 807-811
        • Araiza A
        • Duran M
        • Surani S
        • Varon J.
        Aeromedical transport of critically ill patients: a literature review.
        Cureus. 2021; 13: e14889
        • Hill NS
        • Ruthazer R.
        Predicting outcomes of high-flow nasal cannula for acute respiratory distress syndrome. an index that ROX.
        Am J Respir Crit Care Med. 2019; 199: 1300-1302
        • Magdy DM
        • Metwally A
        The utility of HACOR score in predicting failure of high-flow nasal oxygen in acute hypoxemic respiratory failure.
        Adv Respir Med. 2021; 89: 23-29
        • Grasselli G
        • Pesenti A
        • Cecconi M
        Critical care utilization for the COVID-19 outbreak in Lombardy, Italy.
        JAMA. 2020; 323: 1545