Use of high-flow nasal cannula oxygenation in ICU adults: a narrative review.
Identifieur interne : 001476 ( Main/Exploration ); précédent : 001475; suivant : 001477Use of high-flow nasal cannula oxygenation in ICU adults: a narrative review.
Auteurs : Laurent Papazian [France] ; Amanda Corley [Australie] ; Dean Hess [États-Unis] ; John F. Fraser [Australie] ; Jean-Pierre Frat [France] ; Christophe Guitton [France] ; Samir Jaber [France] ; Salvatore M. Maggiore [Italie] ; Stefano Nava [Italie] ; Jordi Rello [Espagne] ; Jean-Damien Ricard [France] ; François Stephan [France] ; Rocco Trisolini [Italie] ; Elie Azoulay [France]Source :
- Intensive care medicine [ 1432-1238 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte, Bronchoscopie (), Canule, Essais contrôlés randomisés comme sujet, Humains, Hypoxie (), Insuffisance respiratoire (), Intubation trachéale (effets indésirables), Maladie grave (), Obésité (), Oxygène (sang), Oxygénothérapie (), Oxygénothérapie (instrumentation), Résultat thérapeutique, Unités de soins intensifs.
- MESH :
- effets indésirables : Intubation trachéale.
- sang : Oxygène, Oxygénothérapie.
- Adulte, Bronchoscopie, Canule, Essais contrôlés randomisés comme sujet, Humains, Hypoxie, Insuffisance respiratoire, Maladie grave, Obésité, Oxygénothérapie, Résultat thérapeutique, Unités de soins intensifs.
English descriptors
- KwdEn :
- Adult, Bronchoscopy (methods), Cannula, Critical Illness (therapy), Humans, Hypoxia (therapy), Intensive Care Units, Intubation, Intratracheal (adverse effects), Obesity (complications), Oxygen (blood), Oxygen Inhalation Therapy (instrumentation), Oxygen Inhalation Therapy (methods), Randomized Controlled Trials as Topic, Respiratory Insufficiency (therapy), Treatment Outcome.
- MESH :
- chemical , blood : Oxygen.
- adverse effects : Intubation, Intratracheal.
- complications : Obesity.
- instrumentation : Oxygen Inhalation Therapy.
- methods : Bronchoscopy, Oxygen Inhalation Therapy.
- therapy : Critical Illness, Hypoxia, Respiratory Insufficiency.
- Adult, Cannula, Humans, Intensive Care Units, Randomized Controlled Trials as Topic, Treatment Outcome.
Abstract
Oxygen therapy can be delivered using low-flow, intermediate-flow (air entrainment mask), or high-flow devices. Low/intermediate-flow oxygen devices have several drawbacks that cause critically ill patients discomfort and translate into suboptimal clinical results. These include limitation of the FiO2 (due to the high inspiratory flow often observed in patients with respiratory failure), and insufficient humidification and warming of the inspired gas. High-flow nasal cannula oxygenation (HFNCO) delivers oxygen flow rates of up to 60 L/min and over the last decade its effect on clinical outcomes has widely been evaluated, such as in the improvement of respiratory distress, the need for intubation, and mortality. Mechanisms of action of HFNCO are complex and not limited to the increased oxygen flow rate. The main aim of this review is to guide clinicians towards evidence-based clinical practice guidelines. It summarizes current knowledge about HFNCO use in ICU patients and the potential areas of uncertainties. For instance, it has been recently suggested that HFNCO could improve the outcome of patients with hypoxemic acute respiratory failure. In other settings, research is ongoing and additional evidence is needed. For instance, if intubation is required, studies suggest that HFNCO may help to improve preoxygenation and can be used after extubation. Likewise, HFNCO might be used in obese patients, or to prevent respiratory deterioration in hypoxemic patients requiring bronchoscopy, or for the delivery of aerosol therapy. However, areas for which conclusive data exist are limited and interventions using standardized HFNCO protocols, comparators, and relevant clinical outcomes are warranted.
DOI: 10.1007/s00134-016-4277-8
PubMed: 26969671
Affiliations:
- Australie, Espagne, France, Italie, États-Unis
- Catalogne, Languedoc-Roussillon, Massachusetts, Nouvelle-Aquitaine, Occitanie (région administrative), Pays de la Loire, Poitou-Charentes, Provence-Alpes-Côte d'Azur, Émilie-Romagne, Île-de-France
- Barcelone, Bologne, Colombes, Le Plessis-Robinson, Marseille, Montpellier, Nantes, Paris, Poitiers
- Université de Bologne
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Le document en format XML
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at the Harvard Medical School, Boston, MA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Respiratory Care Department of the Massachusetts General Hospital and the Department of Anesthesia at the Harvard Medical School, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Fraser, John F" sort="Fraser, John F" uniqKey="Fraser J" first="John F" last="Fraser">John F. Fraser</name><affiliation wicri:level="1"><nlm:affiliation>Critical Care Research Group, The Prince Charles Hospital and University of Queensland, Brisbane, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Critical Care Research Group, The Prince Charles Hospital and University of Queensland, Brisbane</wicri:regionArea><wicri:noRegion>Brisbane</wicri:noRegion></affiliation></author><author><name sortKey="Frat, Jean Pierre" sort="Frat, Jean Pierre" uniqKey="Frat J" first="Jean-Pierre" last="Frat">Jean-Pierre Frat</name><affiliation wicri:level="3"><nlm:affiliation>CHU de Poitiers, Réanimation Médicale, Poitiers, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHU de Poitiers, Réanimation Médicale, Poitiers</wicri:regionArea><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Poitou-Charentes</region><settlement type="city">Poitiers</settlement></placeName></affiliation></author><author><name sortKey="Guitton, Christophe" sort="Guitton, Christophe" uniqKey="Guitton C" first="Christophe" last="Guitton">Christophe Guitton</name><affiliation wicri:level="3"><nlm:affiliation>Medical ICU, Hôtel-Dieu, University Hospital of Nantes, Nantes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Medical ICU, Hôtel-Dieu, University Hospital of Nantes, Nantes</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Nantes</settlement></placeName></affiliation></author><author><name sortKey="Jaber, Samir" sort="Jaber, Samir" uniqKey="Jaber S" first="Samir" last="Jaber">Samir Jaber</name><affiliation wicri:level="3"><nlm:affiliation>Department of Critical Care Medicine and Anesthesiology (DAR B), Research Unit INSERM U1046, Saint Eloi University Hospital and Montpellier School of Medicine, 80 Avenue Augustin Fliche, 34295, Montpellier, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Critical Care Medicine and Anesthesiology (DAR B), Research Unit INSERM U1046, Saint Eloi University Hospital and Montpellier School of Medicine, 80 Avenue Augustin Fliche, 34295, Montpellier</wicri:regionArea><placeName><settlement type="city">Montpellier</settlement><region type="region" nuts="2">Occitanie (région administrative)</region><region type="old region" nuts="2">Languedoc-Roussillon</region></placeName></affiliation></author><author><name sortKey="Maggiore, Salvatore M" sort="Maggiore, Salvatore M" uniqKey="Maggiore S" first="Salvatore M" last="Maggiore">Salvatore M. Maggiore</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology and Critical Care Medicine, Policlinico SS. Annunziata, Università degli Studi "Gabriele d'Annunzio" Chieti-Pescara, Via dei Vestini, 31, 66100, Chieti, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Anesthesiology and Critical Care Medicine, Policlinico SS. Annunziata, Università degli Studi "Gabriele d'Annunzio" Chieti-Pescara, Via dei Vestini, 31, 66100, Chieti</wicri:regionArea><wicri:noRegion>Chieti</wicri:noRegion></affiliation></author><author><name sortKey="Nava, Stefano" sort="Nava, Stefano" uniqKey="Nava S" first="Stefano" last="Nava">Stefano Nava</name><affiliation wicri:level="4"><nlm:affiliation>Department of Specialist, Diagnostic and Experimental Medicine, School of Medicine, Respiratory and Critical Care, Sant'Orsola, Malpighi Hospital, Università di Bologna, Bologna, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Specialist, Diagnostic and Experimental Medicine, School of Medicine, Respiratory and Critical Care, Sant'Orsola, Malpighi Hospital, Università di Bologna, Bologna</wicri:regionArea><orgName type="university">Université de Bologne</orgName><placeName><settlement type="city">Bologne</settlement><region nuts="2" type="region">Émilie-Romagne</region></placeName></affiliation></author><author><name sortKey="Rello, Jordi" sort="Rello, Jordi" uniqKey="Rello J" first="Jordi" last="Rello">Jordi Rello</name><affiliation wicri:level="3"><nlm:affiliation>Medicine Department, CIBERES, Universitat Autonoma de Barcelona, Ps Vall d'Hebron 119, Anexe AG-5a Planta, 08035, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Medicine Department, CIBERES, Universitat Autonoma de Barcelona, Ps Vall d'Hebron 119, Anexe AG-5a Planta, 08035, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Ricard, Jean Damien" sort="Ricard, Jean Damien" uniqKey="Ricard J" first="Jean-Damien" last="Ricard">Jean-Damien Ricard</name><affiliation wicri:level="3"><nlm:affiliation>AP-HP, Hôpital Louis Mourier, Service de Réanimation Médico-Chirurgicale, 178 rue des Renouillers, 92700, Colombes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>AP-HP, Hôpital Louis Mourier, Service de Réanimation Médico-Chirurgicale, 178 rue des Renouillers, 92700, Colombes</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Colombes</settlement></placeName></affiliation></author><author><name sortKey="Stephan, Francois" sort="Stephan, Francois" uniqKey="Stephan F" first="François" last="Stephan">François Stephan</name><affiliation wicri:level="3"><nlm:affiliation>Service de Réanimation adulte, Hôpital Marie Lannelongue, 133 Avenue de la Résistance, 92350, Le Plessis-Robinson, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de Réanimation adulte, Hôpital Marie Lannelongue, 133 Avenue de la Résistance, 92350, Le Plessis-Robinson</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Le Plessis-Robinson</settlement></placeName></affiliation></author><author><name sortKey="Trisolini, Rocco" sort="Trisolini, Rocco" uniqKey="Trisolini R" first="Rocco" last="Trisolini">Rocco Trisolini</name><affiliation wicri:level="1"><nlm:affiliation>Interventional Pulmology, Sant'Orsola, Malpighi Hospital, Bologna, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Interventional Pulmology, Sant'Orsola, Malpighi Hospital, Bologna</wicri:regionArea><wicri:noRegion>Bologna</wicri:noRegion></affiliation></author><author><name sortKey="Azoulay, Elie" sort="Azoulay, Elie" uniqKey="Azoulay E" first="Elie" last="Azoulay">Elie Azoulay</name><affiliation wicri:level="3"><nlm:affiliation>AP-HP, Hôpital Saint-Louis, Service de Réanimation Médicale, Sorbonne Paris Cité, Paris Diderot University, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>AP-HP, Hôpital Saint-Louis, Service de Réanimation Médicale, Sorbonne Paris Cité, Paris Diderot University, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j">Intensive care medicine</title><idno type="eISSN">1432-1238</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Bronchoscopy (methods)</term><term>Cannula</term><term>Critical Illness (therapy)</term><term>Humans</term><term>Hypoxia (therapy)</term><term>Intensive Care Units</term><term>Intubation, Intratracheal (adverse effects)</term><term>Obesity (complications)</term><term>Oxygen (blood)</term><term>Oxygen Inhalation Therapy (instrumentation)</term><term>Oxygen Inhalation Therapy (methods)</term><term>Randomized Controlled Trials as Topic</term><term>Respiratory Insufficiency (therapy)</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Bronchoscopie ()</term><term>Canule</term><term>Essais contrôlés randomisés comme sujet</term><term>Humains</term><term>Hypoxie ()</term><term>Insuffisance respiratoire ()</term><term>Intubation trachéale (effets indésirables)</term><term>Maladie grave ()</term><term>Obésité ()</term><term>Oxygène (sang)</term><term>Oxygénothérapie ()</term><term>Oxygénothérapie (instrumentation)</term><term>Résultat thérapeutique</term><term>Unités de soins intensifs</term></keywords><keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Oxygen</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Intubation, Intratracheal</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Obesity</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Intubation trachéale</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Oxygen Inhalation Therapy</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Bronchoscopy</term><term>Oxygen Inhalation Therapy</term></keywords><keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Oxygène</term><term>Oxygénothérapie</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Critical Illness</term><term>Hypoxia</term><term>Respiratory Insufficiency</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cannula</term><term>Humans</term><term>Intensive Care Units</term><term>Randomized Controlled Trials as Topic</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Bronchoscopie</term><term>Canule</term><term>Essais contrôlés randomisés comme sujet</term><term>Humains</term><term>Hypoxie</term><term>Insuffisance respiratoire</term><term>Maladie grave</term><term>Obésité</term><term>Oxygénothérapie</term><term>Résultat thérapeutique</term><term>Unités de soins intensifs</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Oxygen therapy can be delivered using low-flow, intermediate-flow (air entrainment mask), or high-flow devices. Low/intermediate-flow oxygen devices have several drawbacks that cause critically ill patients discomfort and translate into suboptimal clinical results. These include limitation of the FiO2 (due to the high inspiratory flow often observed in patients with respiratory failure), and insufficient humidification and warming of the inspired gas. High-flow nasal cannula oxygenation (HFNCO) delivers oxygen flow rates of up to 60 L/min and over the last decade its effect on clinical outcomes has widely been evaluated, such as in the improvement of respiratory distress, the need for intubation, and mortality. Mechanisms of action of HFNCO are complex and not limited to the increased oxygen flow rate. The main aim of this review is to guide clinicians towards evidence-based clinical practice guidelines. It summarizes current knowledge about HFNCO use in ICU patients and the potential areas of uncertainties. For instance, it has been recently suggested that HFNCO could improve the outcome of patients with hypoxemic acute respiratory failure. In other settings, research is ongoing and additional evidence is needed. For instance, if intubation is required, studies suggest that HFNCO may help to improve preoxygenation and can be used after extubation. Likewise, HFNCO might be used in obese patients, or to prevent respiratory deterioration in hypoxemic patients requiring bronchoscopy, or for the delivery of aerosol therapy. However, areas for which conclusive data exist are limited and interventions using standardized HFNCO protocols, comparators, and relevant clinical outcomes are warranted.</div></front></TEI><affiliations><list><country><li>Australie</li><li>Espagne</li><li>France</li><li>Italie</li><li>États-Unis</li></country><region><li>Catalogne</li><li>Languedoc-Roussillon</li><li>Massachusetts</li><li>Nouvelle-Aquitaine</li><li>Occitanie (région administrative)</li><li>Pays de la Loire</li><li>Poitou-Charentes</li><li>Provence-Alpes-Côte d'Azur</li><li>Émilie-Romagne</li><li>Île-de-France</li></region><settlement><li>Barcelone</li><li>Bologne</li><li>Colombes</li><li>Le Plessis-Robinson</li><li>Marseille</li><li>Montpellier</li><li>Nantes</li><li>Paris</li><li>Poitiers</li></settlement><orgName><li>Université de Bologne</li></orgName></list><tree><country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Papazian, Laurent" sort="Papazian, Laurent" uniqKey="Papazian L" first="Laurent" last="Papazian">Laurent Papazian</name></region><name sortKey="Azoulay, Elie" sort="Azoulay, Elie" uniqKey="Azoulay E" first="Elie" last="Azoulay">Elie Azoulay</name><name sortKey="Frat, Jean Pierre" sort="Frat, Jean Pierre" uniqKey="Frat J" first="Jean-Pierre" last="Frat">Jean-Pierre Frat</name><name sortKey="Guitton, Christophe" sort="Guitton, Christophe" uniqKey="Guitton C" first="Christophe" last="Guitton">Christophe Guitton</name><name sortKey="Jaber, Samir" sort="Jaber, Samir" uniqKey="Jaber S" first="Samir" last="Jaber">Samir Jaber</name><name sortKey="Ricard, Jean Damien" sort="Ricard, Jean Damien" uniqKey="Ricard J" first="Jean-Damien" last="Ricard">Jean-Damien Ricard</name><name sortKey="Stephan, Francois" sort="Stephan, Francois" uniqKey="Stephan F" first="François" last="Stephan">François Stephan</name></country><country name="Australie"><noRegion><name sortKey="Corley, Amanda" sort="Corley, Amanda" uniqKey="Corley A" first="Amanda" last="Corley">Amanda Corley</name></noRegion><name sortKey="Fraser, John F" sort="Fraser, John F" uniqKey="Fraser J" first="John F" last="Fraser">John F. Fraser</name></country><country name="États-Unis"><region name="Massachusetts"><name sortKey="Hess, Dean" sort="Hess, Dean" uniqKey="Hess D" first="Dean" last="Hess">Dean Hess</name></region></country><country name="Italie"><noRegion><name sortKey="Maggiore, Salvatore M" sort="Maggiore, Salvatore M" uniqKey="Maggiore S" first="Salvatore M" last="Maggiore">Salvatore M. Maggiore</name></noRegion><name sortKey="Nava, Stefano" sort="Nava, Stefano" uniqKey="Nava S" first="Stefano" last="Nava">Stefano Nava</name><name sortKey="Trisolini, Rocco" sort="Trisolini, Rocco" uniqKey="Trisolini R" first="Rocco" last="Trisolini">Rocco Trisolini</name></country><country name="Espagne"><region name="Catalogne"><name sortKey="Rello, Jordi" sort="Rello, Jordi" uniqKey="Rello J" first="Jordi" last="Rello">Jordi Rello</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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