Effect of high flow nasal oxygen on inspiratory effort of patients with acute hypoxic respiratory failure and do not intubate orders.

Acute respiratory failure Do not intubate order Dyspnea High flow nasal cannula High flow nasal oxygen Inspiratory effort Patient’s self-inflicted lung injury

Journal

Internal and emergency medicine
ISSN: 1970-9366
Titre abrégé: Intern Emerg Med
Pays: Italy
ID NLM: 101263418

Informations de publication

Date de publication:
Mar 2024
Historique:
received: 31 07 2023
accepted: 18 10 2023
pubmed: 2 1 2024
medline: 2 1 2024
entrez: 29 12 2023
Statut: ppublish

Résumé

High flow nasal oxygen (HFNO) is recommended as a first-line respiratory support during acute hypoxic respiratory failure (AHRF) and represents a proportionate treatment option for patients with do not intubate (DNI) orders. The aim of the study is to assess the effect of HFNO on inspiratory effort as assessed by esophageal manometry in a population of DNI patients suffering from AHRF. Patients with AHRF and DNI orders admitted to Respiratory intermediate Care Unit between January 1st, 2018 and May 31st, 2023 to receive HFNO and subjected to esophageal manometry were enrolled. Esophageal pressure swing (ΔP

Identifiants

DOI: 10.1007/s11739-023-03471-w PMID: 38158462
pubmed: 38158462
doi: 10.1007/s11739-023-03471-w
pii: 10.1007/s11739-023-03471-w
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

333-342

Informations de copyright

© 2023. The Author(s), under exclusive licence to Società Italiana di Medicina Interna (SIMI).

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Auteurs

Roberto Tonelli (R)

Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University Hospital of Modena, University of Modena Reggio Emilia, Modena, Italy.

Riccardo Fantini (R)

Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University Hospital of Modena, University of Modena Reggio Emilia, Modena, Italy.

Giulia Bruzzi (G)

Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University Hospital of Modena, University of Modena Reggio Emilia, Modena, Italy.

Luca Tabbì (L)

Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University Hospital of Modena, University of Modena Reggio Emilia, Modena, Italy.

Andrea Cortegiani (A)

Department of Surgical, Oncological and Oral Science (Di.Chir.On.S.), University of Palermo, Palermo, Italy.
Department of Anesthesia, Intensive Care and Emergency, Policlinico Paolo Giaccone, Palermo, Italy.

Claudia Crimi (C)

Respiratory Medicine Unit, Policlinico "G. Rodolico-San Marco" University Hospital, Catania, Italy.
Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.

Lara Pisani (L)

Alma Mater Studiorum, Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy.
Respiratory and Critical Care Unit, IRCCS Azienda Ospedaliero Universitaria Di Bologna, Bologna, Italy.

Antonio Moretti (A)

Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University Hospital of Modena, University of Modena Reggio Emilia, Modena, Italy.

Federico Guidotti (F)

Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University Hospital of Modena, University of Modena Reggio Emilia, Modena, Italy.

Simone Rizzato (S)

Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University Hospital of Modena, University of Modena Reggio Emilia, Modena, Italy.

Daniele Puggioni (D)

Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University Hospital of Modena, University of Modena Reggio Emilia, Modena, Italy.

Morgana Vermi (M)

Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University Hospital of Modena, University of Modena Reggio Emilia, Modena, Italy.

Matteo Tacconi (M)

Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University Hospital of Modena, University of Modena Reggio Emilia, Modena, Italy.

Gianluca Bellesia (G)

Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University Hospital of Modena, University of Modena Reggio Emilia, Modena, Italy.

Beatrice Ragnoli (B)

Pulmonology Unit, S. Andrea Hospital, ASL Vercelli, Vercelli, Italy.

Ivana Castaniere (I)

Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University Hospital of Modena, University of Modena Reggio Emilia, Modena, Italy.

Alessandro Marchioni (A)

Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University Hospital of Modena, University of Modena Reggio Emilia, Modena, Italy. marchioni.alessandro@unimore.it.
ORCID: 0000-0003-3720-3517

Enrico Clini (E)

Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University Hospital of Modena, University of Modena Reggio Emilia, Modena, Italy.

Classifications MeSH