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. 2021 Mar 4;2021(3):CD010172. doi: 10.1002/14651858.CD010172.pub3

Lee 2018.

Study characteristics
Methods RCT, cross‐over design. Single‐centre study
Participants Total number of randomized participants: 26
Setting: ICU; South Korea
Inclusion criteria: age > 20 years; subjective dyspnoea in room air; SpO2 < 90% in room air; oxygen requirement for nasal cannula < 6 L/min
Exclusion criteria: unstable vital signs; severe hypoxia; unable to co‐operate; symptomatic Ischaemic heart disease; use of accessory muscle heart disease; use of accessory muscle under oxygen therapy using nasal cannula; impracticality of HFNC or NC application; facial deformity
Baseline characteristics (overall):
  • Age, mean (SD): 67.9 (± 13.4) years

  • Gender, M/F: 15/9

  • BMI, mean (SD): 24.0 (± 2.9) kg/m2

  • APACHE II: not reported

  • PaCO2, mean (SD): 38.2 (± 7.8) mmHg

  • PaO2/FiO2, mean (SD): 332.9 (± 112.9) mmHg

Interventions Cross‐over study design, participants received each of two therapies for 20 minutes each:
  • HFNC: oxygen delivered using OmniOx System, initial gas flow rate at 35 L/min with FiO2 at 35% mmHg, then adjusted at discretion of the physician. One participant only received 15 L/min.

  • Oxygen via conventional nasal cannula: no additional details


Randomized, n = 26; losses, n = 2 (withdrew consent); analysed, n = 24
Outcomes Flow rates; tidal volumes; comfort (10‐point scale)
Note: we did not report outcome data in the review because study authors did not include outcome data from the first period.
Notes Funding/declarations of interest: Draeger provided EIT monitor. Study author declared no potential conflict of interest, and funder had no role in the design, collection, analysis or interpretation of the study.
Study dates: 1 October 2014 to 28 February 2015
Note: we did not conduct 'Risk of bias' assessments for this study because we did not report outcome data in the review.