Publication: Use of nasal high flow oxygen during acute respiratory failure
Issued Date
2020-12-01
Resource Type
ISSN
14321238
03424642
03424642
Other identifier(s)
2-s2.0-85090430406
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Mahidol University
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SCOPUS
Bibliographic Citation
Intensive Care Medicine. Vol.46, No.12 (2020), 2238-2247
Suggested Citation
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 Use of nasal high flow oxygen during acute respiratory failure. Intensive Care Medicine. Vol.46, No.12 (2020), 2238-2247. doi:10.1007/s00134-020-06228-7 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/60548
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Title
Use of nasal high flow oxygen during acute respiratory failure
Other Contributor(s)
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
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
Abstract
© 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.