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HFNO is a non-invasive oxygen therapy that channels oxygen into the lungs through nasal tubes at a high flow rate – up to 60 litres per minute. When the first Covid-19 patients with acute respiratory distress were admitted to Tygerberg Hospital’s intensive care unit in March this year, doctors treated them according to the internationally recommended regimen of mechanical ventilation.“The first seven patients all received ventilation, and unfortunately all of them died,” recalls Dr Usha Lalla, who manages the Covid-19 ICU.
News of the success of HFNO therapy quickly spread to other hospitals in the province and later, around the country, who also rapidly adopted it. This modality was also implemented at Cape Town’s Hospital of Hope where engineers had to adapt the infrastructure at short notice to accommodate this new therapy.
The doctors from Stellenbosch University collaborated with Professor Greg Calligaro’s team at UCT to combine data of approximately 300 Covid-19 patients who received HFNO therapy at these facilities.
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