Synopsis High-velocity nasal insufflation focuses on optimum efficiency of the dead-space purge to augment ventilation (removal of carbon dioxide from the dead space between breaths), in addition to providing other effects of high-flow nasal cannula. The present study assesses the ability of high-velocity nasal insufflation to support patients with undifferentiated respiratory failure in emergency departments who required ventilatory support. This week’s “ MED FACT ” discusses a randomized control trial from Annals Of Emergency Medicine, “ High-Velocity Nasal Insufflation in the Treatment of Respiratory Failure: A Randomized Clinical Trial ”. Authors: P.

Doshi et. al. Key Takeaways High-velocity nasal insufflation had a treatment failure rate that was noninferior to noninvasive positive-pressure ventilation. Objective: To compare high-velocity nasal insufflation with noninvasive…