The role for high flow nasal cannula as a respiratory support strategy in adults: a clinical practice guideline
Por:
Rochwerg B., Einav S., Chaudhuri D., Mancebo J., Mauri T., Helviz Y., Goligher E.C., Jaber S., Ricard J.-D., Rittayamai N., Roca O., Antonelli M., Maggiore S.M., Demoule A., Hodgson C.L., Mercat A., Wilcox M.E., Granton D., Wang D., Azoulay E., Ouanes-Besbes L., Cinnella G., Rauseo M., Carvalho C., Dessap-Mekontso A., Fraser J., Frat J.-P., Gomersall C., Grasselli G., Hernandez G., Jog S., Pesenti A., Riviello E.D., Slutsky A.S., Stapleton R.D., Talmor D., Thille A.W., Brochard L., Burns K.E.A.
Publicada:
1 ene 2020
Resumen:
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. © 2020, Springer-Verlag GmbH Germany, part of Springer Nature.
Filiaciones:
Rochwerg B.:
Department of Medicine, McMaster University, Hamilton, ON, Canada
Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada
Einav S.:
General Intensive Care Unit, Shaare Zedek Medical Center, Jerusalem, Israel
Faculty of Medicine, Hebrew University, Jerusalem, Israel
Chaudhuri D.:
Department of Medicine, McMaster University, Hamilton, ON, Canada
Mancebo J.:
Servei de Medicina Intensiva, Hospital Universitari Sant Pau, Barcelona, Spain
Mauri T.:
Dipartimento Di Fisopatologia Medico-Chirurgica E Dei Trapianti, Università Degli Studi Di Milano, Milan, Italy
Department of Anesthesia, Critical Care and Emergency, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
Helviz Y.:
General Intensive Care Unit, Shaare Zedek Medical Center, Jerusalem, Israel
Goligher E.C.:
Department of Medicine, Division of Respirology, University Health Network, Toronto, Canada
Interdepartment Division of Critical Care Medicine, University of Toronto, Toronto, Canada
Jaber S.:
University Hospital of Montpellier and Saint Eloi Hospital, Montpellier University, Montpellier, France
Ricard J.-D.:
Assistance Publique–Hôpitaux de Paris, DMU ESPRIT, Médecine Intensive Réanimation, Hôpital Louis Mourier, Colombes, 92700, France
Université de Paris, IAME, U1137, Inserm, Paris, 75018, France
Rittayamai N.:
Division of Respiratory Diseases and Tuberculosis, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
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
Antonelli M.:
Department of Anesthesiology Intensive Care and Emergency Medicine, Fondazione Policlinico Universitario A.Gemelli IRCCS, Rome, Italy
Istituto Di Anestesiologia E Rianimazione, Università Cattolica del Sacro Cuore, Rome, Italy
Maggiore S.M.:
University Department of Medical, Oral and Biotechnological Sciences, G. D’Annunzio University of Chieti-Pescara and Clinical, Department of Anesthesia, Critical Care and Pain Medicine, SS. Annunziata Hospital, Chieti, Italy
Demoule A.:
Sorbonne Université, INSERM, UMRS1158, Neurophysiologie Respiratoire Expérimentale Et Clinique, Paris, France
Service de Pneumologie, Médecine Intensive Et Réanimation, Département R3S, AP-HP Sorbonne Université, Hospital Pitié-Salpêtrière, Paris, France
AP-HP
Hodgson C.L.:
Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Australia
Department of Intensive Care, Alfred Health, Melbourne, Australia
Mercat A.:
Département de Médecine Intensive–Réanimation, CHU D’Angers, Université D’Angers, Angers, France
Wilcox M.E.:
Department of Medicine, Division of Respirology, University Health Network, Toronto, Canada
Interdepartment Division of Critical Care Medicine, University of Toronto, Toronto, Canada
Granton D.:
Department of Medicine, McMaster University, Hamilton, ON, Canada
Wang D.:
Department of Medicine, McMaster University, Hamilton, ON, Canada
Azoulay E.:
Service de Médecine Intensive Et Réanimation. APHP, Hôpital Saint-Louis, Université de Paris, Paris, France
Ouanes-Besbes L.:
Intensive Care Unit, CHU F. Bourguiba Monastir, Université de Monastir, Monastir, 5000, Tunisia
Research Lab, Cardiopulmonary Research in Intensive Care and Toxicology, LR12SP15, Monastir, Tunisia
Cinnella G.:
Department of Anesthesia and Intensive Care, University of Foggia, Foggia, Italy
Rauseo M.:
Department of Anesthesia and Intensive Care, University of Foggia, Foggia, Italy
Carvalho C.:
Pulmonary Division, Hospital das Clinicas – Heart Institute (InCor), School of Medicine, University of São Paulo, São Paulo, SP, Brazil
Dessap-Mekontso A.:
AP-HP
Fraser J.:
Critical Care Research Group, University of Queensland, Brisbane, Australia
Adult Intensive Care Services, The Prince Charles Hospital, Brisbane, Australia
Frat J.-P.:
CHU de Poitiers, Réanimation Médicale, INSERM, CIC-1402, équipe 5 ALIVE, Faculté de Médecine Et de Pharmacie de Poitiers, Université de Poitiers, Poitiers, France
Gomersall C.:
Department of Anaesthesia and Intensive Care, Chinese University of Hong Kong, Shatin, New Territories, Hong Kong
Grasselli G.:
Dipartimento Di Fisopatologia Medico-Chirurgica E Dei Trapianti, Università Degli Studi Di Milano, Milan, Italy
Department of Anesthesia, Critical Care and Emergency, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
Hernandez G.:
University Hospital Virgen de La Salud, Toledo, Spain
Jog S.:
Department of Intensive Care Medicine, Deenanath Mangeshkar Hospital and Research Centre, Pune, India
Pesenti A.:
Department of Pathophysiology and Transplantation, 9304, Universita Degli Studi Di Milano, Milano, Italy
Riviello E.D.:
Division of Pulmonary, Critical Care, and Sleep Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, United States
Slutsky A.S.:
Interdepartment Division of Critical Care Medicine, University of Toronto, Toronto, Canada
Keenan Research Center, Li Ka Shing Knowledge Institute, St Michael’s Hospital, University of Toronto, Toronto, Canada
Department of Medicine (Critical Care Medicine), Unity Health Toronto, St. Michael’s Hospital, Li Ka Shing Knowledge Institute, 30 Bond Street, Office 4-045 Donnelly Wing, Toronto, M5B 1W8, Canada
Stapleton R.D.:
Division of Pulmonary and Critical Care Medicine, University of Vermont Larner College of Medicine, Burlington, VT, United States
Talmor D.:
Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, United States
Thille A.W.:
Centre Hospitalier Universitaire de Poitiers, Médecine Intensive Réanimation, INSERM CIC 1402 ALIVE Research Group, University of Poitiers, Poitiers, France
Brochard L.:
Interdepartment Division of Critical Care Medicine, University of Toronto, Toronto, Canada
Department of Medicine (Critical Care Medicine), Unity Health Toronto, St. Michael’s Hospital, Li Ka Shing Knowledge Institute, 30 Bond Street, Office 4-045 Donnelly Wing, Toronto, M5B 1W8, Canada
Burns K.E.A.:
Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada
Interdepartment Division of Critical Care Medicine, University of Toronto, Toronto, Canada
Department of Medicine (Critical Care Medicine), Unity Health Toronto, St. Michael’s Hospital, Li Ka Shing Knowledge Institute, 30 Bond Street, Office 4-045 Donnelly Wing, Toronto, M5B 1W8, Canada
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