Publication: The role for high flow nasal cannula as a respiratory support strategy in adults: a clinical practice guideline
Issued Date
2020-12-01
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ISSN
14321238
03424642
03424642
Other identifier(s)
2-s2.0-85096111314
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Mahidol University
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SCOPUS
Bibliographic Citation
Intensive Care Medicine. Vol.46, No.12 (2020), 2226-2237
Suggested Citation
Bram Rochwerg, Sharon Einav, Dipayan Chaudhuri, Jordi Mancebo, Tommaso Mauri, Yigal Helviz, Ewan C. Goligher, Samir Jaber, Jean Damien Ricard, Nuttapol Rittayamai, Oriol Roca, Massimo Antonelli, Salvatore Maurizio Maggiore, Alexandre Demoule, Carol L. Hodgson, Alain Mercat, M. Elizabeth Wilcox, David Granton, Dominic Wang, Elie Azoulay, Lamia Ouanes-Besbes, Gilda Cinnella, Michela Rauseo, Carlos Carvalho, Armand Dessap-Mekontso, John Fraser, Jean Pierre Frat, Charles Gomersall, Giacomo Grasselli, Gonzalo Hernandez, Sameer Jog, Antonio Pesenti, Elisabeth D. Riviello, Arthur S. Slutsky, Renee D. Stapleton, Daniel Talmor, Arnaud W. Thille, Laurent Brochard, Karen E.A. Burns The role for high flow nasal cannula as a respiratory support strategy in adults: a clinical practice guideline. Intensive Care Medicine. Vol.46, No.12 (2020), 2226-2237. doi:10.1007/s00134-020-06312-y Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/60549
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Title
The role for high flow nasal cannula as a respiratory support strategy in adults: a clinical practice guideline
Author(s)
Bram Rochwerg
Sharon Einav
Dipayan Chaudhuri
Jordi Mancebo
Tommaso Mauri
Yigal Helviz
Ewan C. Goligher
Samir Jaber
Jean Damien Ricard
Nuttapol Rittayamai
Oriol Roca
Massimo Antonelli
Salvatore Maurizio Maggiore
Alexandre Demoule
Carol L. Hodgson
Alain Mercat
M. Elizabeth Wilcox
David Granton
Dominic Wang
Elie Azoulay
Lamia Ouanes-Besbes
Gilda Cinnella
Michela Rauseo
Carlos Carvalho
Armand Dessap-Mekontso
John Fraser
Jean Pierre Frat
Charles Gomersall
Giacomo Grasselli
Gonzalo Hernandez
Sameer Jog
Antonio Pesenti
Elisabeth D. Riviello
Arthur S. Slutsky
Renee D. Stapleton
Daniel Talmor
Arnaud W. Thille
Laurent Brochard
Karen E.A. Burns
Sharon Einav
Dipayan Chaudhuri
Jordi Mancebo
Tommaso Mauri
Yigal Helviz
Ewan C. Goligher
Samir Jaber
Jean Damien Ricard
Nuttapol Rittayamai
Oriol Roca
Massimo Antonelli
Salvatore Maurizio Maggiore
Alexandre Demoule
Carol L. Hodgson
Alain Mercat
M. Elizabeth Wilcox
David Granton
Dominic Wang
Elie Azoulay
Lamia Ouanes-Besbes
Gilda Cinnella
Michela Rauseo
Carlos Carvalho
Armand Dessap-Mekontso
John Fraser
Jean Pierre Frat
Charles Gomersall
Giacomo Grasselli
Gonzalo Hernandez
Sameer Jog
Antonio Pesenti
Elisabeth D. Riviello
Arthur S. Slutsky
Renee D. Stapleton
Daniel Talmor
Arnaud W. Thille
Laurent Brochard
Karen E.A. Burns
Other Contributor(s)
Alfred Health
IAME Infection Antimicrobials Modelling Evolution
Centro de Investigación Biomédica en Red de Enfermedades Respiratorias
Keenan Research Centre for Biomedical Science
Li Ka Shing Knowledge Institute
Deenanath Mangeshkar Hospital and Research Center, Pune
Fondazione Policlinico Universitario Agostino Gemelli IRCCS Università Cattolica del Sacro Cuore
CHU Fattouma-Bourguiba
Università Cattolica del Sacro Cuore, Rome
McMaster University
CHU Montpellier
The University of Queensland
Università degli Studi di Milano
Université Paris-Est Créteil
Complejo Hospitalario de Toledo
Hôpital Henri Mondor
Università degli Studi di Foggia
Shaare Zedek Medical Center
AP-HP Assistance Publique - Hopitaux de Paris
Centre Hospitalier Universitaire de Poitiers
Monash University
Instituto do Coracao do Hospital das Clinicas
University of Toronto
University Health Network University of Toronto
Faculte de Medecine et de Pharmacie de l'Universite de Poitiers
Universite d'Angers
Hospital Universitari Vall d'Hebron
Hospital Universitari de Bellvitge
Faculty of Medicine, Siriraj Hospital, Mahidol University
University of Vermont
Hebrew University of Jerusalem
University of G. d'Annunzio Chieti and Pescara
Hopital Louis-Mourier
The Prince Charles Hospital
Hôpital Saint-Louis
Chinese University of Hong Kong
Harvard Medical School
Sorbonne Universite
Cardiopulmonary Research in Intensive Care and Toxicology
IAME Infection Antimicrobials Modelling Evolution
Centro de Investigación Biomédica en Red de Enfermedades Respiratorias
Keenan Research Centre for Biomedical Science
Li Ka Shing Knowledge Institute
Deenanath Mangeshkar Hospital and Research Center, Pune
Fondazione Policlinico Universitario Agostino Gemelli IRCCS Università Cattolica del Sacro Cuore
CHU Fattouma-Bourguiba
Università Cattolica del Sacro Cuore, Rome
McMaster University
CHU Montpellier
The University of Queensland
Università degli Studi di Milano
Université Paris-Est Créteil
Complejo Hospitalario de Toledo
Hôpital Henri Mondor
Università degli Studi di Foggia
Shaare Zedek Medical Center
AP-HP Assistance Publique - Hopitaux de Paris
Centre Hospitalier Universitaire de Poitiers
Monash University
Instituto do Coracao do Hospital das Clinicas
University of Toronto
University Health Network University of Toronto
Faculte de Medecine et de Pharmacie de l'Universite de Poitiers
Universite d'Angers
Hospital Universitari Vall d'Hebron
Hospital Universitari de Bellvitge
Faculty of Medicine, Siriraj Hospital, Mahidol University
University of Vermont
Hebrew University of Jerusalem
University of G. d'Annunzio Chieti and Pescara
Hopital Louis-Mourier
The Prince Charles Hospital
Hôpital Saint-Louis
Chinese University of Hong Kong
Harvard Medical School
Sorbonne Universite
Cardiopulmonary Research in Intensive Care and Toxicology
Abstract
© 2020, Springer-Verlag GmbH Germany, part of Springer Nature. Purpose: High flow nasal cannula (HFNC) is a relatively recent respiratory support technique which delivers high flow, heated and humidified controlled concentration of oxygen via the nasal route. Recently, its use has increased for a variety of clinical indications. To guide clinical practice, we developed evidence-based recommendations regarding use of HFNC in various clinical settings. Methods: We formed a guideline panel composed of clinicians, methodologists and experts in respiratory medicine. Using GRADE, the panel developed recommendations for four actionable questions. Results: The guideline panel made a strong recommendation for HFNC in hypoxemic respiratory failure compared to conventional oxygen therapy (COT) (moderate certainty), a conditional recommendation for HFNC following extubation (moderate certainty), no recommendation regarding HFNC in the peri-intubation period (moderate certainty), and a conditional recommendation for postoperative HFNC in high risk and/or obese patients following cardiac or thoracic surgery (moderate certainty). Conclusions: This clinical practice guideline synthesizes current best-evidence into four recommendations for HFNC use in patients with hypoxemic respiratory failure, following extubation, in the peri-intubation period, and postoperatively for bedside clinicians.