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

Autor: Alexandre Demoule, Dipayan Chaudhuri, Carol L. Hodgson, Antonio Pesenti, Jean-Damien Ricard, Karen E. A. Burns, Armand Dessap-Mekontso, Ewan C. Goligher, Jordi Mancebo, Alain Mercat, M. Elizabeth Wilcox, Gilda Cinnella, Tommaso Mauri, Arthur S. Slutsky, Lamia Ouanes-Besbes, Samir Jaber, Renee D. Stapleton, Massimo Antonelli, David Granton, Salvatore Maurizio Maggiore, Jean-Pierre Frat, Dominic Xiang Wang, Michela Rauseo, Laurent Brochard, Arnaud W. Thille, Charles D. Gomersall, Sharon Einav, John F. Fraser, Daniel Talmor, Elie Azoulay, Bram Rochwerg, Yigal Helviz, Giacomo Grasselli, Elisabeth D. Riviello, Nuttapol Rittayamai, Oriol Roca, Carlos Roberto Ribeiro de Carvalho, Sameer Jog, Gonzalo Hernández
Přispěvatelé: McMaster University [Hamilton, Ontario], Shaare Zedek Medical Center [Jerusalem, Israel], The Hebrew University of Jerusalem (HUJ), Hospital Universitari Sant Pau, Barcelona, Università degli Studi di Milano [Milano] (UNIMI), Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, University Health Network, University of Toronto, Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046] (PhyMedExp), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM)-Centre National de la Recherche Scientifique (CNRS), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Hôpital Louis Mourier - AP-HP [Colombes], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Infection, Anti-microbiens, Modélisation, Evolution (IAME (UMR_S_1137 / U1137)), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPC)-Université Sorbonne Paris Nord, Siriraj Hospital, Mahidol University, Mahidol University [Bangkok], Vall d'Hebron University Hospital [Barcelona], Vall d’Hebron Research Institute (VHIR), Centro de Investigación Biomédica en Red Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III [Madrid] (ISC), Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università cattolica del Sacro Cuore = Catholic University of the Sacred Heart [Roma] (Unicatt), Università degli studi 'G. d'Annunzio' Chieti-Pescara [Chieti-Pescara] (Ud'A), Neurophysiologie Respiratoire Expérimentale et Clinique (UMRS 1158), Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU), Service de Pneumologie et Réanimation Médicale [CHU Pitié-Salpêtrière] (Département ' R3S '), CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Monash University [Melbourne], Alfred Health, Centre Hospitalier Universitaire d'Angers (CHU Angers), PRES Université Nantes Angers Le Mans (UNAM), Hopital Saint-Louis [AP-HP] (AP-HP), CHU Fattouma Bourguiba [Monastir] (HFB), Université de Monastir - University of Monastir (UM), Università degli Studi di Foggia - University of Foggia, University of São Paulo (USP), Hôpital Henri Mondor, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Henri Mondor-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12), University of Queensland [Brisbane], The Prince Charles Hospital, Centre hospitalier universitaire de Poitiers (CHU Poitiers), CIC - Poitiers, Université de Poitiers-Centre hospitalier universitaire de Poitiers (CHU Poitiers)-Direction Générale de l'Organisation des Soins (DGOS)-Institut National de la Santé et de la Recherche Médicale (INSERM), The Chinese University of Hong Kong [Hong Kong], Hospital Virgen de la Salud, Toledo, Spain, Deenanath Mangeshkar Hospital [Pune], Beth Israel Deaconess Medical Center [Boston] (BIDMC), Harvard Medical School [Boston] (HMS), Keenan Research Centre of the Li Ka Shing Knowledge Institute [Toronto], St. Michael's Hospital, Larner College of Medicine [University of Vermont, Burlington], University of Vermont [Burlington], Université de Montpellier (UM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Paris (UP)-Université Sorbonne Paris Nord, Fondazione 'Policlinico Universitario A. Gemelli' [Rome], Università cattolica del Sacro Cuore [Roma] (Unicatt), Neurophysiologie Respiratoire Expérimentale et Clinique, Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), The Prince Charles Hospital [Queensland, Australia] (Metro North Hospital and Health Service), Università degli Studi di Milano = University of Milan (UNIMI), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité)-Université Sorbonne Paris Nord, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Università degli Studi di Foggia = University of Foggia (Unifg), Universidade de São Paulo = University of São Paulo (USP)
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Intensive Care Medicine
Intensive Care Medicine, Springer Verlag, 2020, 46 (12), pp.2226-2237. ⟨10.1007/s00134-020-06312-y⟩
Intensive Care Medicine, 2020, 46 (12), pp.2226-2237. ⟨10.1007/s00134-020-06312-y⟩
ISSN: 0342-4642
1432-1238
Popis: 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. Electronic supplementary material The online version of this article (10.1007/s00134-020-06312-y) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE