Table 2.
Studies investigating high flow nasal oxygen in various intensive care unit settings
Studies | Design | Patients | HFNO was compared to | Primary endpoint | Results |
---|---|---|---|---|---|
Hypoxemic ARF | |||||
Frat et al.(8) | RCT | 310 Medical ICU | NIV and standard oxygen | Intubation | Similar but lower rates in the subgroup of patients with a PaO2/FiO2 < 200mmHg. |
Post-surgery | |||||
Stéphan et al.(16) | RCT | 830 cardiothoracic surgery | Post-extubation NIV | Treatment failure | Non-inferiority |
Futier et al.(17) | RCT | 220 major abdominal surgery | Standard oxygen | Hypoxemia | No difference |
Pre-intubation | |||||
Miguel-Montanes et al.(20) | Before-After | 101 medical ICU | Bag reservoir facemask | Lowest SpO2 during intubation | High SpO2 with HFNO |
Semler et al.(23) | Open label | 150 medical ICU | Usual care | Lowest SpO2 during intubation | No difference |
Vourc’h et al.(21) | RCT | 124 medical ICU | Oxygen facial mask | Lowest SpO2 during intubation | No difference |
Jaber et al.(22) | RCT | 49 medical ICU | HFNO + NIV versus NIV alone | Lowest SpO2during intubation | Higher SpO2 with HFNO + NIV |
Post-extubation | |||||
Maggiore et al.(10) | RCT | 105 medical ICU | Venturi mask | PaO2/FiO2 ratio | Higher with HFNO |
Hernández et al.(11) | RCT | 527 low risk of post-extubation ARF medical ICU | Venturi mask | Reintubation | Lower with HFNO |
Hernández et al.(12) | RCT | 604 medical ICU with low risk of post-extubation ARF | NIV | Reintubation | No difference |
Immunocompromised | |||||
Lemiale et al.(18) | RCT | 100 medical ICU | Standard oxygen | Need for NIV and/or intubation | No difference |
Frat et al.(19) | RCT | 82 medical ICU | NIV and standard oxygen | Intubation rate | Lower with HFNO |
HFNO - high flow nasal oxygen; ICU - intensive care unit; RCT - randomized controlled trial; NIV - noninvasive ventilation; ARF - acute respiratory failure; PaO2/FiO2 - ratio of the partial pressure of arterial oxygen to the fraction of inspired oxygen; SpO2 - oxygen saturation level.