HI-Flow Star
Topic: Life-saving treatment with High-Flow Therapy
The HI-Flow Star system for enhanced patient safety and comfort
The newly designed swivel connector helps prevent unnecessary disconnections, ensuring more continuous therapy.
Tension on the hose can make patients feel if they were tied down. Integrated clips, one for the nasal tubing and one for the hose provide effective breathing circuit tension relief. This helps keep patients more comfortable and facilitates mobilization and physical therapy. Water collecting inside the circuit is often an issue with heated and humidified air. The flexible, breathable hose minimizes internal condensation. The HI-Flow Star valve kit includes a pressure relief valve and a humidifier chamber connector. The preset pressure relief valve is used to prevent the system pressure becoming too high. The valve kit can be used for high-flow therapy in adults (optional).
Patient comfort is a central issue with any interface. To be effective, it must be worn continuously for hours at a time. The headgear is constructed of soft, lightweight materials that holds the interface firmly yet comfortably in place. It can be freely adjusted to provide an exact fit.
The nostril is a very sensitive area. The unique design and soft materials used in the nasal prongs help to reduce skin lesions and enhance patient comfort.
Thanks to its symmetrical design, the nasal cannula can be connected from either the left or the right side of the bed. This helps caregivers save time and effort. No need to move a bed or equipment to connect the nasal cannula to the patient.
The HI-Flow Star nasal patient interface is disposable, reducing the possibility of cross contamination.
Prevent setbacks, stabilize function and accelerate recovery
Studies have demonstrated that high-flow oxygen therapy can be successfully used to avoid both conventional mask-based non-invasive and invasive ventilation therapy in patients with compromised respiratory function and also help them recover faster following extubation1. This translates to improved outcomes and shorter ICU stays2.
Positive influence on functional parameters
High-flow oxygen can do more than just increase O2 saturation levels. Clinical observations reveal that it can also improve mucus clearance4,11 while increasing tidal and end-expiratory lung volume5,6.
Enhanced patient comfort
High-flow therapy is more comfortable for patients than NIV7. The soft nasal prongs of the HI-Flow Start system ensure a comfortable fit. Skin lesions and other undesirable effects associated with masks are reduced. Heating and humidification of the gas mix further improves both patient tolerance and therapeutic efficacy8,9,10.
Compatibility and simplicity
The HI-Flow Star system is compatible with a range of Dräger ventilators, including the Savina and Evita family. A source of compressed air and oxygen as well as a gas mixer, such as the Oxymixer from Dräger, is required for operation. Caregivers will appreciate the system's simplicity. Fast setup and easy application translate to workload reduction.
Literature
1 Nasal high-flow versus Venturi mask oxygen therapy after extubation. Effects on oxygenation, comfort, and clinical outcome, Maggiore SM, Idone FA, Vaschetto R, Festa R, Cataldo A, Antonicelli F, Montini L, De Gaetano A, Navalesi P, Antonelli M., Am J Respir Crit Care Med. 2014 Aug 1;190(3):282-8. doi: 10.1164/rccm.201402-0364OC.
2 Can high-flow nasal cannula reduce the rate of reintubation in adult patients after extubation? A meta-analysis, BMC Pulm Med. 2017; 17: 142. Yue-Nan Ni, Jian Luo, He Yu,Dan Liu, Bin-Miao Liang, Rong Yao, and Zong-An Liang
3 Nasal high-flow oxygen therapy in patients with hypoxic resp. failure: effect on functional and subjective resp. parameters comp. to conventional oxygen therapy and non-invasive ventilation, Schwabbauer N, Berg B, Blumenstock G, Haap M, Hetzel J, Riessen R, BMC Anesthesiol. 2014 Aug 7;14:66. doi: 10.1186/1471-2253-14-66. eCollection 2014.
4 Domiciliary humidification improves lung mucociliary clearance in patients with bronchiectasis. Chron Respir Dis. 2008;5(2):81-6. Hasani A1, Chapman TH, McCool D, Smith RE, Dilworth JP, Agnew JE.
5 High-flow nasal cannula therapy for adult patients Jian Zhang, Ling Lin, Konghan Pan, Jiancang, Zhou, Xiaoyin Huang: Journal of International Medical Research 2016, Vol. 44(6) 1200–1211
6 Oxygen delivery through high-flow nasal cannulae increase end-expiratory lung volume and reduce respiratory rate in post-cardiac surgical patients Corley A, Caruana LR, Barnett AG, Tronstad O, Fraser JF: Br J Anaesth. 2011;107(6):998–1004
7 High-flow nasal oxygen therapy and noninvasive ventilation in the management of acute hypoxemic failure Frat JP, Coudroy R, Marjanovic N, Thille AW: Ann Transl Med. Jul;5(14):297
8 Physiologic Effects of High-Flow Nasal Cannula Oxygen in Critical Care Subjects, Vargas F, Saint-Leger M, Boyer A, Bui NH, Hilbert G, Respir Care. 2015 Oct;60(10):1369-76. doi: 10.4187/respcare.03814. Epub 2015 May 5.
9 Current evidence for the effectiveness of heated and humidified high flow nasal cannula supportive therapy in adult patients with respiratory failure, Roca O, Hernández G, Díaz-Lobato S, Carratalá JM, Gutiérrez RM, Masclans JR; Crit Care. 2016 Apr 28;20(1):109. doi: 10.1186/s13054-016-1263-z.
10 Heated and humidified high-flow oxygen therapy reduces discomfort during hypoxemic respiratory failure, Cuquemelle E, Pham T, Papon JF, Louis B, Danin PE, Brochard L., Respir Care. 2012 Oct;57(10):1571-7. Epub 2012 Mar 12.
11 A Systematic Review of the High-flow Nasal Cannula for Adult Patients. Critical Care201822:71 Published: 20 March 2018