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. 2020 Jun 15;67(9):1217–1248. doi: 10.1007/s12630-020-01740-2

Table 4.

Complications from included studies for systematic review 1 on HFNC for acute hypoxemic respiratory failure

HFNC Standard O2
Makdee, 201744 n = 63 n = 65
 Thoracic and cervical discomfort 2 0
 Feeling hot 4 0
Jones, 201649 n = 165 n = 138
 Apnea 0 1
 Drop in GCS of 2 or more points 1 6
 Fall in GCS due to CO2 retention 0 3
Raeisi, 201942 n = 20 n = 20
 Device-induced heat 2 0
 Nasal irritation 2 0
 Refractory asthma/hypoxia 0 1
Rittayamai, 201551 n = 20 n = 20
 Unpleasant smell 1 0
 Temperature too warm 1 0
 Chest discomfort 1 0
Ruangsomboon, 201943 n = 44 n = 44
 Discomfort 5 0
 Feeling hot 2 0
 Could not tolerate HFNC 1 0
Frat, 201548 n = 106 n = 94
 Cardiac dysrhythmia 11 16
 Septic shock 19 26
 Cardio-respiratory arrest 5 7
 Nosocomial pneumonia 4 8
Azoulay, 201846 n = 388 n = 388
 ICU-acquired infection 39 41

Makdee 2017 included aspiration and nasal ulceration but no events occurred in either group

Jones 2016 included pneumothorax, subcutaneous emphysema, and nasal pressure sore but no events occurred in either group

Bell 2015 reported that no adverse events occurred in either group

ICU = intensive care unit; GCS = Glasgow Coma Scale; HFNC = high-flow nasal cannula