Browsing by Author "Giulia Spoletini"

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    European respiratory society international congress 2018: Highlights from Assembly 2 on respiratory intensive care
    (2019-02-01) Christoph Fisser; Giulia Spoletini; Aung Kyaw Soe; Alana Livesey; Annia Schreiber; Ema Swingwood; Lieuwe D. Bos; Michael Dreher; Marcus J. Schultz; Leo Heunks; Raffaele Scala; Pirogov Russian National Research Medical University (RNRMU); IRCCS Policlinico San Donato; NHS Foundation Trust; Heartlands Hospital; Klinikum der Universität Regensburg und Medizinische Fakultät; University Health Network University of Toronto; Mahidol University; University of Leeds; Amsterdam UMC - Vrije Universiteit Amsterdam; Amsterdam UMC - University of Amsterdam; Uniklinik RWTH Aachen; Hospital Donaustauf; St James’s University Hospital
    © ERS 2019. The respiratory intensive care Assembly of the European Respiratory Society is proud to present a summary of several important sessions held at the International Congress in Paris in 2018. For the highly esteemed reader who may have missed the Congress, a concise review was written on three topics: the state-of-the-art session on respiratory critical care, hot topics in weaning and the best abstracts in noninvasive ventilation.
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    Use of nasal high flow oxygen during acute respiratory failure
    (2020-12-01) Jean Damien Ricard; Oriol Roca; Virginie Lemiale; Amanda Corley; Jens Braunlich; Peter Jones; Byung Ju Kang; François Lellouche; Stefano Nava; Nuttapol Rittayamai; Giulia Spoletini; Samir Jaber; Gonzalo Hernandez; IAME Infection Antimicrobials Modelling Evolution; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias; Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval; CHU Montpellier; The University of Queensland; Alma Mater Studiorum Università di Bologna; Complejo Hospitalario de Toledo; St James's University Hospital; Hospital Universitari Vall d'Hebron; University of Leeds; Auckland City Hospital; Faculty of Medicine, Siriraj Hospital, Mahidol University; Universität Leipzig; University of Ulsan, College of Medicine; University of Auckland; Hopital Louis-Mourier; The Prince Charles Hospital; Hôpital Saint-Louis; Klinikum Emden
    © 2020, Springer-Verlag GmbH Germany, part of Springer Nature. Nasal high flow (NHF) has gained popularity among intensivists to manage patients with acute respiratory failure. An important literature has accompanied this evolution. In this review, an international panel of experts assessed potential benefits of NHF in different areas of acute respiratory failure management. Analyses of the physiological effects of NHF indicate flow-dependent improvement in various respiratory function parameters. These beneficial effects allow some patients with severe acute hypoxemic respiratory failure to avoid intubation and improve their outcome. They require close monitoring to not delay intubation. Such a delay may worsen outcome. The ROX index may help clinicians decide when to intubate. In immunocompromised patients, NHF reduces the need for intubation but does not impact mortality. Beneficial physiological effects of NHF have also been reported in patients with chronic respiratory failure, suggesting a possible indication in acute hypercapnic respiratory failure. When intubation is required, NHF can be used to pre-oxygenate patients either alone or in combination with non-invasive ventilation (NIV). Similarly, NHF reduces reintubation alone in low-risk patients and in combination with NIV in high-risk patients. NHF may be used in the emergency department in patients who would not be offered intubation and can be better tolerated than NIV.