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. 2017 Oct-Dec;29(4):399–403. doi: 10.5935/0103-507X.20170060

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.