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Research ArticleOriginal Research

Use of High-Flow Nasal Cannula Oxygen Therapy in Subjects With ARDS: A 1-Year Observational Study

Jonathan Messika, Karim Ben Ahmed, Stéphane Gaudry, Romain Miguel-Montanes, Cédric Rafat, Benjamin Sztrymf, Didier Dreyfuss and Jean-Damien Ricard
Respiratory Care February 2015, 60 (2) 162-169; DOI: https://doi.org/10.4187/respcare.03423
Jonathan Messika
Assistance Publique-Hôpitaux de Paris, Hôpital Louis Mourier, Service de Réanimation Médico-Chirurgicale, Colombes, France.
Institut National de la Santé et de la Recherche Médicale, Infection, Antimicrobiens, Modélisation, Evolution, Unité Mixte de Recherche 1137, Paris, France and with Université Paris Diderot, Infection, Antimicrobiens, Modélisation, Evolution, Unité Mixte de Recherche 1137, Sorbonne Paris Cité, Paris, France.
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Karim Ben Ahmed
Assistance Publique-Hôpitaux de Paris, Hôpital Louis Mourier, Service de Réanimation Médico-Chirurgicale, Colombes, France.
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Stéphane Gaudry
Assistance Publique-Hôpitaux de Paris, Hôpital Louis Mourier, Service de Réanimation Médico-Chirurgicale, Colombes, France.
Institut National de la Santé et de la Recherche Médicale, Infection, Antimicrobiens, Modélisation, Evolution, Unité Mixte de Recherche 1137, Paris, France and with Université Paris Diderot, Infection, Antimicrobiens, Modélisation, Evolution, Unité Mixte de Recherche 1137, Sorbonne Paris Cité, Paris, France.
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Romain Miguel-Montanes
Assistance Publique-Hôpitaux de Paris, Hôpital Louis Mourier, Service de Réanimation Médico-Chirurgicale, Colombes, France.
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Cédric Rafat
Assistance Publique-Hôpitaux de Paris, Hôpital Louis Mourier, Service de Réanimation Médico-Chirurgicale, Colombes, France.
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Benjamin Sztrymf
Assistance Publique-Hôpitaux de Paris, Hôpital Antoine Béclère, Service de Réanimation Médico-Chirurgicale, Clamart, France.
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Didier Dreyfuss
Assistance Publique-Hôpitaux de Paris, Hôpital Louis Mourier, Service de Réanimation Médico-Chirurgicale, Colombes, France.
Institut National de la Santé et de la Recherche Médicale, Infection, Antimicrobiens, Modélisation, Evolution, Unité Mixte de Recherche 1137, Paris, France and with Université Paris Diderot, Infection, Antimicrobiens, Modélisation, Evolution, Unité Mixte de Recherche 1137, Sorbonne Paris Cité, Paris, France.
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Jean-Damien Ricard
Assistance Publique-Hôpitaux de Paris, Hôpital Louis Mourier, Service de Réanimation Médico-Chirurgicale, Colombes, France.
Institut National de la Santé et de la Recherche Médicale, Infection, Antimicrobiens, Modélisation, Evolution, Unité Mixte de Recherche 1137, Paris, France and with Université Paris Diderot, Infection, Antimicrobiens, Modélisation, Evolution, Unité Mixte de Recherche 1137, Sorbonne Paris Cité, Paris, France.
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  • For correspondence: [email protected]
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    Fig. 1.

    Management protocol of subjects with acute respiratory failure (ARF) used in our unit. This figure illustrates the routine protocol applied to patient management in case of ARF. High-flow nasal cannula (HFNC) is the first-line treatment used in de novo ARF. NIV = noninvasive ventilation.

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    Fig. 2.

    Subject flow chart of all admissions during the study period. Multiple oxygenation techniques may have been used in a single subject. Overall, high-flow nasal cannula (HFNC) was the first-line noninvasive treatment for 29% of respiratory failure subjects: 51 (first-line HFNC)/[51 (first-line HFNC) + 88 (NIV) + 36 (oxygen mask)] = 29%. * Detailed HFNC use of these 87 subjects is shown in Figure 3. NIV = noninvasive ventilation.

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    Fig. 3.

    Eighty-seven subjects had high-flow nasal cannula (HFNC) therapy at least once during ICU stay. Detailed indications are shown. ARF = acute respiratory failure, NIV = noninvasive ventilation.

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Respiratory Care: 60 (2)
Respiratory Care
Vol. 60, Issue 2
1 Feb 2015
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Use of High-Flow Nasal Cannula Oxygen Therapy in Subjects With ARDS: A 1-Year Observational Study
Jonathan Messika, Karim Ben Ahmed, Stéphane Gaudry, Romain Miguel-Montanes, Cédric Rafat, Benjamin Sztrymf, Didier Dreyfuss, Jean-Damien Ricard
Respiratory Care Feb 2015, 60 (2) 162-169; DOI: 10.4187/respcare.03423

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Use of High-Flow Nasal Cannula Oxygen Therapy in Subjects With ARDS: A 1-Year Observational Study
Jonathan Messika, Karim Ben Ahmed, Stéphane Gaudry, Romain Miguel-Montanes, Cédric Rafat, Benjamin Sztrymf, Didier Dreyfuss, Jean-Damien Ricard
Respiratory Care Feb 2015, 60 (2) 162-169; DOI: 10.4187/respcare.03423
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Keywords

  • acute respiratory failure
  • high flow
  • oxygen therapy
  • noninvasive ventilation
  • outcome

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