Non-invasive ventilatory support and high-flow nasal oxygen as first-line treatment of acute hypoxemic respiratory failure and ARDS.

Humans Hypoxia / therapy Intubation, Intratracheal Noninvasive Ventilation Oxygen Positive-Pressure Respiration Respiratory Distress Syndrome / therapy Respiratory Insufficiency / therapy
Acute hypoxemic respiratory failure (AHRF) Acute respiratory distress syndrome (ARDS) Continuous positive airway pressure (CPAP) High-flow nasal oxygen (H-FNO) Inspiratory effort Noninvasive ventilation (NIV) Patient self-inflicted lung injury (P-SILI) Pressure support ventilation (PSV) Transpulmonary pressure

Journal

Intensive care medicine
ISSN: 1432-1238
Titre abrégé: Intensive Care Med
Pays: United States
ID NLM: 7704851

Informations de publication

Date de publication:
Aug 2021
Historique:
received: 08 02 2021
accepted: 09 06 2021
pubmed: 8 7 2021
medline: 10 8 2021
entrez: 7 7 2021
Statut: ppublish

Résumé

The role of non-invasive respiratory support (high-flow nasal oxygen and noninvasive ventilation) in the management of acute hypoxemic respiratory failure and acute respiratory distress syndrome is debated. The oxygenation improvement coupled with lung and diaphragm protection produced by non-invasive support may help to avoid endotracheal intubation, which prevents the complications of sedation and invasive mechanical ventilation. However, spontaneous breathing in patients with lung injury carries the risk that vigorous inspiratory effort, combined or not with mechanical increases in inspiratory airway pressure, produces high transpulmonary pressure swings and local lung overstretch. This ultimately results in additional lung damage (patient self-inflicted lung injury), so that patients intubated after a trial of noninvasive support are burdened by increased mortality. Reducing inspiratory effort by high-flow nasal oxygen or delivery of sustained positive end-expiratory pressure through the helmet interface may reduce these risks. In this physiology-to-bedside review, we provide an updated overview about the role of noninvasive respiratory support strategies as early treatment of hypoxemic respiratory failure in the intensive care unit. Noninvasive strategies appear safe and effective in mild-to-moderate hypoxemia (PaO

Identifiants

DOI: 10.1007/s00134-021-06459-2 PMID: 34232336 PMC: PMC8261815
pubmed: 34232336
doi: 10.1007/s00134-021-06459-2
pii: 10.1007/s00134-021-06459-2
pmc: PMC8261815
doi:

Substances chimiques

Oxygen S88TT14065

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

851-866

Subventions

Organisme : NHLBI NIH HHS
ID : K23 HL148387
Pays : United States

Informations de copyright

© 2021. Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Domenico Luca Grieco (DL)

Department of Emergency, Intensive Care Medicine and Anesthesia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy. dlgrieco@outlook.it.
Department of Anesthesiology and Intensive Care Medicine, Catholic University of The Sacred Heart, Fondazione 'Policlinico Universitario A. Gemelli' IRCCS, L.go F. Vito, 00168, Rome, Italy. dlgrieco@outlook.it.
ORCID: 0000-0002-4557-6308

Salvatore Maurizio Maggiore (SM)

Department of Anesthesiology, Critical Care Medicine and Emergency, SS. Annunziata Hospital, Chieti, Italy.
University Department of Innovative Technologies in Medicine and Dentistry, Gabriele D'Annunzio University of Chieti-Pescara, Chieti, Italy.

Oriol Roca (O)

Servei de Medicina Intensiva, Hospital Universitari Vall D'Hebron, Institut de Recerca Vall D'Hebron, Barcelona, Spain.
Ciber Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.

Elena Spinelli (E)

Department of Anesthesia, Critical Care and Emergency, Foundation IRCCS Ca' Granda Maggiore Policlinico Hospital, Milan, Italy.

Bhakti K Patel (BK)

Section of Pulmonary and Critical Care, Department of Medicine, University of Chicago, Chicago, IL, USA.

Arnaud W Thille (AW)

Centre Hospitalier Universitaire (CHU) de Poitiers, Médecine Intensive Réanimation, Poitiers, France.
Centre D'Investigation Clinique 1402, ALIVE, INSERM, Université de Poitiers, Poitiers, France.

Carmen Sílvia V Barbas (CSV)

Division of Pulmonary and Critical Care, University of São Paulo, São Paulo, Brazil.
Intensive Care Unit, Albert Einstein Hospital, São Paulo, Brazil.

Marina Garcia de Acilu (MG)

Servei de Medicina Intensiva, Hospital Universitari Vall D'Hebron, Institut de Recerca Vall D'Hebron, Barcelona, Spain.
Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain.

Salvatore Lucio Cutuli (SL)

Department of Emergency, Intensive Care Medicine and Anesthesia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Department of Anesthesiology and Intensive Care Medicine, Catholic University of The Sacred Heart, Fondazione 'Policlinico Universitario A. Gemelli' IRCCS, L.go F. Vito, 00168, Rome, Italy.

Filippo Bongiovanni (F)

Department of Emergency, Intensive Care Medicine and Anesthesia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Department of Anesthesiology and Intensive Care Medicine, Catholic University of The Sacred Heart, Fondazione 'Policlinico Universitario A. Gemelli' IRCCS, L.go F. Vito, 00168, Rome, Italy.

Marcelo Amato (M)

Laboratório de Pneumologia LIM-09, Disciplina de Pneumologia, Heart Institute (Incor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.

Jean-Pierre Frat (JP)

Centre Hospitalier Universitaire (CHU) de Poitiers, Médecine Intensive Réanimation, Poitiers, France.
Centre D'Investigation Clinique 1402, ALIVE, INSERM, Université de Poitiers, Poitiers, France.

Tommaso Mauri (T)

Department of Anesthesia, Critical Care and Emergency, Foundation IRCCS Ca' Granda Maggiore Policlinico Hospital, Milan, Italy.
Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.

John P Kress (JP)

Department of Anesthesia, Critical Care and Emergency, Foundation IRCCS Ca' Granda Maggiore Policlinico Hospital, Milan, Italy.

Jordi Mancebo (J)

Servei de Medicina Intensiva, Hospital Universitari de La Santa Creu I Sant Pau, Barcelona, Spain.

Massimo Antonelli (M)

Department of Emergency, Intensive Care Medicine and Anesthesia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Department of Anesthesiology and Intensive Care Medicine, Catholic University of The Sacred Heart, Fondazione 'Policlinico Universitario A. Gemelli' IRCCS, L.go F. Vito, 00168, Rome, Italy.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Non-invasive ventilatory support and high-flow...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Signes et symptômes respiratoires › Hypoxie › Non-invasive ventilatory support and high-flow...
questionsmedicales.fr › Techniques d'investigation › Intubation › Intubation trachéale › Non-invasive ventilatory support and high-flow...
questionsmedicales.fr › Thérapeutique › Thérapie respiratoire › Ventilation artificielle › Ventilation non effractive › Non-invasive ventilatory support and high-flow...
questionsmedicales.fr › Produits chimiques inorganiques › Gaz › Oxygène › Non-invasive ventilatory support and high-flow...
questionsmedicales.fr › Thérapeutique › Thérapie respiratoire › Ventilation artificielle › Ventilation à pression positive › Non-invasive ventilatory support and high-flow...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Troubles respiratoires › Syndrome de détresse respiratoire de l'adulte › Non-invasive ventilatory support and high-flow...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Troubles respiratoires › Insuffisance respiratoire › Non-invasive ventilatory support and high-flow...