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Dräger Hi-Flow Star HFNC Solution - Draeger Hi-Flow Star HFNC Solution-HI-Flow Star System in use

Dräger Hi-Flow Star HFNC Solution

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High-Flow Nasal Cannula (HFNC) Treatment

High-Flow Nasal Cannula (HFNC) Treatment is a non-invasive respiratory support therapy that delivers warm, humidified, oxygen-enriched air to patients, usually using a nasal cannula. Typically used in spontaneously breathing patients who typically require oxygen at higher flow rates. It can provide respiratory support of patients with acute hypoxemic respiratory failure and prevent subsequent intubation when used correctly. This greatly enhances patient comfort and ease of use.

Life-saving treatment with HFNC TherapyPlay video

Life-saving treatment with HFNC Therapy

Watch this video to learn more about how HFNC:

  • Leads to improvements in oxygenation1, respiratory rate2, dyspnea3 and patient comfort4
  • Helps patients recover faster following extubation1
  • Translates to improved outcomes and shorter ICU stays4
Hi-Flow Star How to usePlay video

How to use

Watch this video to learn more about how to use the Dräger Hi-Flow Star HFNC Solution HFNC.

COVID-19 Updates

According to WHO 2020, “Data from China suggests that although the majority of people with COVID-19 have a mild illness (40%) or moderate illness (40%); about 15% of them have a severe illness requiring oxygen therapy, and 5% will be critically ill requiring intensive care unit treatment.”5

"COVID-19 treatment health-care facilities should be equipped with pulse oximeters, functioning oxygen systems including single-use oxygen delivery interfaces.

Oxygen therapy is recommended for all severe and critical COVID-19 patients, with low doses ranging from 1-2 L/min in children and starting at 5 L/min in adults with nasal cannula, moderate flow rates for use with venturi mask (6-10 L/min); or higher flow rates (10-15 L/min) using a mask with reservoir bag. In addition, oxygen can be delivered at higher flow rates and in higher concentrations, using high-flow nasal cannula (HFNC) devices, non-invasive ventilation (NIV) and invasive ventilation devices.”6

Oxymixer High Flow

Dräger Hi-Flow Star HFNC Solution

The standard can be customized with the products shown below.

Oxymixer High Flow


Oxymixer Low Flow with Monitor

Oxymixer Blender

MR850 Heated Humidifier

MR850 Humidifier

HI-Flow Star System

Hi-Flow Star Circuit

High Flow Star

Hi-Flow Star Cannula

HFNC-when to use

When to use HFNC?

Recommended algorithm for high-flow nasal cannula use in acute hypoxaemic respiratory failure in immunocompetent or immunocompromised patients.

#: arterial oxygen tension (PaO2)/inspiratory oxygen fraction (FiO2) <300 (patients with arterial carbon dioxide ...

Ischaki E, Pantazopoulos I, Zakynthinos S. Nasal high flow therapy: a novel treatment rather than a more expensive oxygen device. Eur Respir Rev. 2017;26(145):170028. Published 2017 Aug 9. doi:10.1183/16000617.0028-2017

ROX Index

ROX Index - Predicting Success of HFNC Therapy

ROX Index ≥4.88 measured at 2, 6, or 12 hours after high-flow nasal cannula (HFNC) initiation is associated with a lower risk for intubation.

ROX Index <3.85, risk of HFNC failure is high, and intubating the patient should be discussed.

ROX Index 3.85 to <4.88, the scoring could be repeated one or two hours later for further evaluation.

Roca, O. Messika, J. Caralt B., et al. Predicting success of high-flow nasal cannula in pneumonia patients with hypoxemic respiratory failure: The utility of the ROX index. J Crit Care. 2016:35:200-5.

Roca O. Caralt B. Messika J. et al. An Index Combining Respiratory Rate and Oxygenation to Predict Outcome of Nasal High-Flow Therapy. Am J Respir Crit Care Med. 2019;199(11):1368-1376.

High-Flow Therapy literature list

Clinical evidence on High-Flow Therapy

We have prepared an interesting literature list about clinical studies, cases and reviews on High-Flow Therapy in intensive care.

Download list

Get in touch with Dräger


Draeger India Private Limited

10th Floor, Commerz II, International Business Park,
Oberoi Garden City,
Off Western Express Highway, Goregaon (East),
Mumbai - 400 063, India

022 6133 5600


This is a site that aims to provide information on products and services to medical professionals in India. Please note that it is not intended to provide information to the general public.


  1. Corley, A., Caruana, L. R., Barnett, A. G., Tronstad, O., Fraser, J. F. (2011). Oxygen delivery through high-flow nasal cannulae increase end-expiratory lung volume and reduce respiratory rate in post-cardiac surgical patients. BJA: British Journal of Anaesthesia, Volume 107, Issue 6, December 2011, Pages 998–1004,
  2. Roca, O., Riera, J., Torres, F., Masclans, J.R. (2010). High-Flow Oxygen Therapy in Acute Respiratory Failure. Respiratory Care Apr 2010, 55 (4) 408-413;
  3. Sztrymf B, Messika J, Bertrand F, et al. (2011). Beneficial effects of humidified high flow nasal oxygen in critical care patients: a prospective pilot study. Intensive Care Med. 2011;37(11):1780-1786. doi:10.1007/s00134-011-2354-6
  4. Tiruvoipati, R., Lewis, D., Haji, K., Botha, J. (2010). High-flow nasal oxygen vs high-flow face mask: a randomized crossover trial in extubated patients. J Crit Care. 2010;25(3):463-468. doi:10.1016/j.jcrc.2009.06.050
  5. Oxygen sources and distribution for COVID-19 treatment centres; World Health Organization; 2020 (, accessed April 2020)
  6. Clinical management of severe acute respiratory infection ( SARI ) when COVID-19 disease is suspected; Geneva: World Health Organization; 2020 (, accessed 10 April 2020)