High-flow nasal cannula oxygen therapy in acute hypoxemic respiratory failure and COVID-19-related respiratory failure.
Acute respiratory failure
COVID-19
High-flow nasal oxygen
Oxygen support
Journal
Journal of intensive medicine
ISSN: 2667-100X
Titre abrégé: J Intensive Med
Pays: China
ID NLM: 9918539389006676
Informations de publication
Date de publication:
31 Jan 2023
31 Jan 2023
Historique:
received:
30
05
2022
revised:
19
06
2022
accepted:
13
07
2022
entrez:
9
2
2023
pubmed:
10
2
2023
medline:
10
2
2023
Statut:
ppublish
Résumé
Although standard oxygen face masks are first-line therapy for patients with acute hypoxemic respiratory failure, high-flow nasal cannula oxygen therapy has gained major popularity in intensive care units. The physiological effects of high-flow oxygen counterbalance the physiological consequences of acute hypoxemic respiratory failure by lessening the deleterious effects of intense and prolonged inspiratory efforts generated by patients. Its simplicity of application for physicians and nurses and its comfort for patients are other arguments for its use in this setting. Although clinical studies have reported a decreased risk of intubation with high-flow oxygen compared with standard oxygen, its survival benefit is uncertain. A more precise definition of acute hypoxemic respiratory failure, including a classification of severity based on oxygenation levels, is needed to better compare the efficiencies of different non-invasive oxygenation support methods (standard oxygen, high-flow oxygen, and non-invasive ventilation). Additionally, the respective role of each non-invasive oxygenation support method needs to be established through further clinical trials in acute hypoxemic respiratory failure, especially in severe forms.
Identifiants
pubmed: 36756183
doi: 10.1016/j.jointm.2022.07.005
pii: S2667-100X(22)00076-7
pmc: PMC9534601
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
20-26Informations de copyright
© 2022 The Authors. Published by Elsevier B.V. on behalf of Chinese Medical Association.
Déclaration de conflit d'intérêts
Jean-Pierre Frat reports travel expenses coverage to attend scientific meetings and consulting fees from Fisher&Paykel and SOS oxygen; Laura Marchasson and François Arrivé report no conflicts of interest; Rémi Coudroy reports travel expenses coverage to attend scientific meetings from Fisher&Paykel and MSD, grants from ERS and SRLF.
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