High-flow nasal oxygen escalation

Educational use only. Not clinically reviewed

52-year-old man for High-flow nasal oxygen selection and early reassessment. About 8 simulated minutes.

What you will practise

Reconcile the authored baseline, verified conventional oxygen, signal quality, work, gas exchange, mentation, and perfusion trajectory.
Review the fixed whole-patient suitability, preferences, monitoring environment, and airway-capable rescue readiness.
Select a closely monitored high-flow nasal oxygen trial for the authored de novo nonhypercapnic hypoxemic-failure pattern.
After elapsed time, review the fixed experienced-team 30-minute whole-patient and blood-gas response.
Record monitored continuation with explicit deterioration triggers and rapid airway-capable reassessment.
After another elapsed interval, hand off active support, partial response, open cause, failure triggers, rescue readiness, and named owners.

Review and sources

Not clinically reviewed. No clinician has signed this scenario.

Goel NN, Ferreyro BL, Pitre T, et al. Noninvasive Respiratory Support for Adult Patients with Acute Respiratory Failure: An Official American Thoracic Society Clinical Practice Guideline. Am J Respir Crit Care Med. 2026. PMID 42371750. doi:10.1093/ajrccm/aamag302.
Oczkowski S, Ergan B, Bos L, et al. ERS clinical practice guidelines: high-flow nasal cannula in acute respiratory failure. Eur Respir J. 2022;59:2101574. PMID 34649974. doi:10.1183/13993003.01574-2021.

Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.