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The role for high flow nasal cannula as a respiratory support strategy in adults: a clinical practice guideline

Intensive care medicine, 2020-12, Vol.46 (12), p.2226-2237 [Peer Reviewed Journal]

Springer-Verlag GmbH Germany, part of Springer Nature 2020 ;COPYRIGHT 2020 Springer ;Springer-Verlag GmbH Germany, part of Springer Nature 2020. ;Distributed under a Creative Commons Attribution 4.0 International License ;ISSN: 0342-4642 ;EISSN: 1432-1238 ;DOI: 10.1007/s00134-020-06312-y ;PMID: 33201321

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Title:
The role for high flow nasal cannula as a respiratory support strategy in adults: a clinical practice guideline
Author: Rochwerg, Bram ; Einav, Sharon ; Chaudhuri, Dipayan ; Mancebo, Jordi ; Mauri, Tommaso ; Helviz, Yigal ; Goligher, Ewan C. ; Jaber, Samir ; Ricard, Jean-Damien ; Rittayamai, Nuttapol ; Roca, Oriol ; Antonelli, Massimo ; Maggiore, Salvatore Maurizio ; Demoule, Alexandre ; Hodgson, Carol L. ; Mercat, Alain ; Wilcox, M. Elizabeth ; Granton, David ; Wang, Dominic ; Azoulay, Elie ; Ouanes-Besbes, Lamia ; Cinnella, Gilda ; Rauseo, Michela ; Carvalho, Carlos ; Dessap-Mekontso, Armand ; Fraser, John ; Frat, Jean-Pierre ; Gomersall, Charles ; Grasselli, Giacomo ; Hernandez, Gonzalo ; Jog, Sameer ; Pesenti, Antonio ; Riviello, Elisabeth D. ; Slutsky, Arthur S. ; Stapleton, Renee D. ; Talmor, Daniel ; Thille, Arnaud W. ; Brochard, Laurent ; Burns, Karen E. A.
Subjects: Anesthesiology ; Cannulae ; Clinical medicine ; Clinical practice guidelines ; Comparative analysis ; Conference Reports and Expert Panel ; Critical Care Medicine ; Electrical equipment and supplies industry ; Emergency Medicine ; Evidence-based medicine ; Extubation ; High flow ; Intensive ; Intensive care ; Intubation ; Life Sciences ; Medical colleges ; Medical materials ; Medicine ; Medicine & Public Health ; Oxygen ; Pain Medicine ; Patients ; Pediatrics ; Pneumology/Respiratory System ; Practice guidelines (Medicine) ; Surgery ; Thoracic surgery ; Thorax ; Ventilation
Is Part Of: Intensive care medicine, 2020-12, Vol.46 (12), p.2226-2237
Description: 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.
Publisher: Berlin/Heidelberg: Springer Berlin Heidelberg
Language: English
Identifier: ISSN: 0342-4642
EISSN: 1432-1238
DOI: 10.1007/s00134-020-06312-y
PMID: 33201321
Source: Hyper Article en Ligne (HAL) (Open Access)
ProQuest Central

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The role for high flow nasal cannula as a respiratory support strategy in adults: a clinical practice guideline

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