Noninvasive Oxygenation in Patients with Acute Respiratory Failure: Current Perspectives
Jean-Pierre Frat,1,2 Sylvain Le Pape,1 Rémi Coudroy,1,2 Arnaud W Thille1,2 1Centre Hospitalier Universitaire de Poitiers, Médecine Intensive Réanimation, Poitiers, France; 2Centre d’Investigation Clinique 1402 ALIVE, INSERM, Université de Poitier...
Ausführliche Beschreibung
Gespeichert in:
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Frat JP [verfasserIn] Le Pape S [verfasserIn] Coudroy R [verfasserIn] Thille AW [verfasserIn] |
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E-Artikel |
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Englisch |
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2022 |
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In: International Journal of General Medicine - Dove Medical Press, 2008, (2022), Seite 3121-3132 |
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year:2022 ; pages:3121-3132 |
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| 520 | |a Jean-Pierre Frat,1,2 Sylvain Le Pape,1 Rémi Coudroy,1,2 Arnaud W Thille1,2 1Centre Hospitalier Universitaire de Poitiers, Médecine Intensive Réanimation, Poitiers, France; 2Centre d’Investigation Clinique 1402 ALIVE, INSERM, Université de Poitiers, Poitiers, FranceCorrespondence: Jean-Pierre Frat, Centre Hospitalier Universitaire de Poitiers, Médecine Intensive Réanimation, 2 rue la Milétrie, Poitiers, 86021, France, Tel +33549444007, Email jean-pierre.fratchu-poitiers.frPurpose of Review: High-flow nasal oxygen and noninvasive ventilation are two alternative strategies to standard oxygen in the management of acute respiratory failure.Discussion: Although high-flow nasal oxygen has gained major popularity in ICUs due to its simplicity of application, good comfort for patients, efficiency in improving oxygenation and promising results in patients with acute hypoxemic respiratory failure, further large clinical trials are needed to confirm its superiority over standard oxygen. Non-invasive ventilation may have deleterious effects, especially in patients exerting strong inspiratory efforts, and no current recommendations support its use in this setting. Protective non-invasive ventilation using higher levels of positive-end expiratory pressure, more prolonged sessions and other interfaces such as the helmet may have beneficial physiological effects leading to it being proposed as alternative to high-flow nasal oxygen in acute hypoxemic respiratory failure. By contrast, non-invasive ventilation is the first-line strategy of oxygenation in patients with acute exacerbation of chronic lung disease, while high-flow nasal oxygen could be an alternative to non-invasive ventilation after partial reversal of respiratory acidosis. Questions remain about the target populations and non-invasive oxygen strategy representing the best alternative to standard oxygen in acute hypoxemic respiratory failure. As concerns acute on-chronic-respiratory failure, the place of high-flow nasal oxygen remains to be evaluated.Keywords: noninvasive ventilation, high-flow nasal oxygen, respiratory insufficiency, acute respiratory failure | ||
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(DE-627)DOAJ063223783 (DE-599)DOAJd404407532774fc49d68444891eb99b1 DE-627 ger DE-627 rakwb eng R5-920 Frat JP verfasserin aut Noninvasive Oxygenation in Patients with Acute Respiratory Failure: Current Perspectives 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Jean-Pierre Frat,1,2 Sylvain Le Pape,1 Rémi Coudroy,1,2 Arnaud W Thille1,2 1Centre Hospitalier Universitaire de Poitiers, Médecine Intensive Réanimation, Poitiers, France; 2Centre d’Investigation Clinique 1402 ALIVE, INSERM, Université de Poitiers, Poitiers, FranceCorrespondence: Jean-Pierre Frat, Centre Hospitalier Universitaire de Poitiers, Médecine Intensive Réanimation, 2 rue la Milétrie, Poitiers, 86021, France, Tel +33549444007, Email jean-pierre.fratchu-poitiers.frPurpose of Review: High-flow nasal oxygen and noninvasive ventilation are two alternative strategies to standard oxygen in the management of acute respiratory failure.Discussion: Although high-flow nasal oxygen has gained major popularity in ICUs due to its simplicity of application, good comfort for patients, efficiency in improving oxygenation and promising results in patients with acute hypoxemic respiratory failure, further large clinical trials are needed to confirm its superiority over standard oxygen. Non-invasive ventilation may have deleterious effects, especially in patients exerting strong inspiratory efforts, and no current recommendations support its use in this setting. Protective non-invasive ventilation using higher levels of positive-end expiratory pressure, more prolonged sessions and other interfaces such as the helmet may have beneficial physiological effects leading to it being proposed as alternative to high-flow nasal oxygen in acute hypoxemic respiratory failure. By contrast, non-invasive ventilation is the first-line strategy of oxygenation in patients with acute exacerbation of chronic lung disease, while high-flow nasal oxygen could be an alternative to non-invasive ventilation after partial reversal of respiratory acidosis. Questions remain about the target populations and non-invasive oxygen strategy representing the best alternative to standard oxygen in acute hypoxemic respiratory failure. As concerns acute on-chronic-respiratory failure, the place of high-flow nasal oxygen remains to be evaluated.Keywords: noninvasive ventilation, high-flow nasal oxygen, respiratory insufficiency, acute respiratory failure noninvasive ventilation high-flow nasal oxygen respiratory insufficiency acute respiratory failure Medicine (General) Le Pape S verfasserin aut Coudroy R verfasserin aut Thille AW verfasserin aut In International Journal of General Medicine Dove Medical Press, 2008 (2022), Seite 3121-3132 (DE-627)578539691 (DE-600)2452220-X 11787074 nnns year:2022 pages:3121-3132 https://doaj.org/article/d404407532774fc49d68444891eb99b1 kostenfrei https://www.dovepress.com/noninvasive-oxygenation-in-patients-with-acute-respiratory-failure-cur-peer-reviewed-fulltext-article-IJGM kostenfrei https://doaj.org/toc/1178-7074 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2022 3121-3132 |
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(DE-627)DOAJ063223783 (DE-599)DOAJd404407532774fc49d68444891eb99b1 DE-627 ger DE-627 rakwb eng R5-920 Frat JP verfasserin aut Noninvasive Oxygenation in Patients with Acute Respiratory Failure: Current Perspectives 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Jean-Pierre Frat,1,2 Sylvain Le Pape,1 Rémi Coudroy,1,2 Arnaud W Thille1,2 1Centre Hospitalier Universitaire de Poitiers, Médecine Intensive Réanimation, Poitiers, France; 2Centre d’Investigation Clinique 1402 ALIVE, INSERM, Université de Poitiers, Poitiers, FranceCorrespondence: Jean-Pierre Frat, Centre Hospitalier Universitaire de Poitiers, Médecine Intensive Réanimation, 2 rue la Milétrie, Poitiers, 86021, France, Tel +33549444007, Email jean-pierre.fratchu-poitiers.frPurpose of Review: High-flow nasal oxygen and noninvasive ventilation are two alternative strategies to standard oxygen in the management of acute respiratory failure.Discussion: Although high-flow nasal oxygen has gained major popularity in ICUs due to its simplicity of application, good comfort for patients, efficiency in improving oxygenation and promising results in patients with acute hypoxemic respiratory failure, further large clinical trials are needed to confirm its superiority over standard oxygen. Non-invasive ventilation may have deleterious effects, especially in patients exerting strong inspiratory efforts, and no current recommendations support its use in this setting. Protective non-invasive ventilation using higher levels of positive-end expiratory pressure, more prolonged sessions and other interfaces such as the helmet may have beneficial physiological effects leading to it being proposed as alternative to high-flow nasal oxygen in acute hypoxemic respiratory failure. By contrast, non-invasive ventilation is the first-line strategy of oxygenation in patients with acute exacerbation of chronic lung disease, while high-flow nasal oxygen could be an alternative to non-invasive ventilation after partial reversal of respiratory acidosis. Questions remain about the target populations and non-invasive oxygen strategy representing the best alternative to standard oxygen in acute hypoxemic respiratory failure. As concerns acute on-chronic-respiratory failure, the place of high-flow nasal oxygen remains to be evaluated.Keywords: noninvasive ventilation, high-flow nasal oxygen, respiratory insufficiency, acute respiratory failure noninvasive ventilation high-flow nasal oxygen respiratory insufficiency acute respiratory failure Medicine (General) Le Pape S verfasserin aut Coudroy R verfasserin aut Thille AW verfasserin aut In International Journal of General Medicine Dove Medical Press, 2008 (2022), Seite 3121-3132 (DE-627)578539691 (DE-600)2452220-X 11787074 nnns year:2022 pages:3121-3132 https://doaj.org/article/d404407532774fc49d68444891eb99b1 kostenfrei https://www.dovepress.com/noninvasive-oxygenation-in-patients-with-acute-respiratory-failure-cur-peer-reviewed-fulltext-article-IJGM kostenfrei https://doaj.org/toc/1178-7074 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2022 3121-3132 |
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(DE-627)DOAJ063223783 (DE-599)DOAJd404407532774fc49d68444891eb99b1 DE-627 ger DE-627 rakwb eng R5-920 Frat JP verfasserin aut Noninvasive Oxygenation in Patients with Acute Respiratory Failure: Current Perspectives 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Jean-Pierre Frat,1,2 Sylvain Le Pape,1 Rémi Coudroy,1,2 Arnaud W Thille1,2 1Centre Hospitalier Universitaire de Poitiers, Médecine Intensive Réanimation, Poitiers, France; 2Centre d’Investigation Clinique 1402 ALIVE, INSERM, Université de Poitiers, Poitiers, FranceCorrespondence: Jean-Pierre Frat, Centre Hospitalier Universitaire de Poitiers, Médecine Intensive Réanimation, 2 rue la Milétrie, Poitiers, 86021, France, Tel +33549444007, Email jean-pierre.fratchu-poitiers.frPurpose of Review: High-flow nasal oxygen and noninvasive ventilation are two alternative strategies to standard oxygen in the management of acute respiratory failure.Discussion: Although high-flow nasal oxygen has gained major popularity in ICUs due to its simplicity of application, good comfort for patients, efficiency in improving oxygenation and promising results in patients with acute hypoxemic respiratory failure, further large clinical trials are needed to confirm its superiority over standard oxygen. Non-invasive ventilation may have deleterious effects, especially in patients exerting strong inspiratory efforts, and no current recommendations support its use in this setting. Protective non-invasive ventilation using higher levels of positive-end expiratory pressure, more prolonged sessions and other interfaces such as the helmet may have beneficial physiological effects leading to it being proposed as alternative to high-flow nasal oxygen in acute hypoxemic respiratory failure. By contrast, non-invasive ventilation is the first-line strategy of oxygenation in patients with acute exacerbation of chronic lung disease, while high-flow nasal oxygen could be an alternative to non-invasive ventilation after partial reversal of respiratory acidosis. Questions remain about the target populations and non-invasive oxygen strategy representing the best alternative to standard oxygen in acute hypoxemic respiratory failure. As concerns acute on-chronic-respiratory failure, the place of high-flow nasal oxygen remains to be evaluated.Keywords: noninvasive ventilation, high-flow nasal oxygen, respiratory insufficiency, acute respiratory failure noninvasive ventilation high-flow nasal oxygen respiratory insufficiency acute respiratory failure Medicine (General) Le Pape S verfasserin aut Coudroy R verfasserin aut Thille AW verfasserin aut In International Journal of General Medicine Dove Medical Press, 2008 (2022), Seite 3121-3132 (DE-627)578539691 (DE-600)2452220-X 11787074 nnns year:2022 pages:3121-3132 https://doaj.org/article/d404407532774fc49d68444891eb99b1 kostenfrei https://www.dovepress.com/noninvasive-oxygenation-in-patients-with-acute-respiratory-failure-cur-peer-reviewed-fulltext-article-IJGM kostenfrei https://doaj.org/toc/1178-7074 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2022 3121-3132 |
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(DE-627)DOAJ063223783 (DE-599)DOAJd404407532774fc49d68444891eb99b1 DE-627 ger DE-627 rakwb eng R5-920 Frat JP verfasserin aut Noninvasive Oxygenation in Patients with Acute Respiratory Failure: Current Perspectives 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Jean-Pierre Frat,1,2 Sylvain Le Pape,1 Rémi Coudroy,1,2 Arnaud W Thille1,2 1Centre Hospitalier Universitaire de Poitiers, Médecine Intensive Réanimation, Poitiers, France; 2Centre d’Investigation Clinique 1402 ALIVE, INSERM, Université de Poitiers, Poitiers, FranceCorrespondence: Jean-Pierre Frat, Centre Hospitalier Universitaire de Poitiers, Médecine Intensive Réanimation, 2 rue la Milétrie, Poitiers, 86021, France, Tel +33549444007, Email jean-pierre.fratchu-poitiers.frPurpose of Review: High-flow nasal oxygen and noninvasive ventilation are two alternative strategies to standard oxygen in the management of acute respiratory failure.Discussion: Although high-flow nasal oxygen has gained major popularity in ICUs due to its simplicity of application, good comfort for patients, efficiency in improving oxygenation and promising results in patients with acute hypoxemic respiratory failure, further large clinical trials are needed to confirm its superiority over standard oxygen. Non-invasive ventilation may have deleterious effects, especially in patients exerting strong inspiratory efforts, and no current recommendations support its use in this setting. Protective non-invasive ventilation using higher levels of positive-end expiratory pressure, more prolonged sessions and other interfaces such as the helmet may have beneficial physiological effects leading to it being proposed as alternative to high-flow nasal oxygen in acute hypoxemic respiratory failure. By contrast, non-invasive ventilation is the first-line strategy of oxygenation in patients with acute exacerbation of chronic lung disease, while high-flow nasal oxygen could be an alternative to non-invasive ventilation after partial reversal of respiratory acidosis. Questions remain about the target populations and non-invasive oxygen strategy representing the best alternative to standard oxygen in acute hypoxemic respiratory failure. As concerns acute on-chronic-respiratory failure, the place of high-flow nasal oxygen remains to be evaluated.Keywords: noninvasive ventilation, high-flow nasal oxygen, respiratory insufficiency, acute respiratory failure noninvasive ventilation high-flow nasal oxygen respiratory insufficiency acute respiratory failure Medicine (General) Le Pape S verfasserin aut Coudroy R verfasserin aut Thille AW verfasserin aut In International Journal of General Medicine Dove Medical Press, 2008 (2022), Seite 3121-3132 (DE-627)578539691 (DE-600)2452220-X 11787074 nnns year:2022 pages:3121-3132 https://doaj.org/article/d404407532774fc49d68444891eb99b1 kostenfrei https://www.dovepress.com/noninvasive-oxygenation-in-patients-with-acute-respiratory-failure-cur-peer-reviewed-fulltext-article-IJGM kostenfrei https://doaj.org/toc/1178-7074 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2022 3121-3132 |
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(DE-627)DOAJ063223783 (DE-599)DOAJd404407532774fc49d68444891eb99b1 DE-627 ger DE-627 rakwb eng R5-920 Frat JP verfasserin aut Noninvasive Oxygenation in Patients with Acute Respiratory Failure: Current Perspectives 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Jean-Pierre Frat,1,2 Sylvain Le Pape,1 Rémi Coudroy,1,2 Arnaud W Thille1,2 1Centre Hospitalier Universitaire de Poitiers, Médecine Intensive Réanimation, Poitiers, France; 2Centre d’Investigation Clinique 1402 ALIVE, INSERM, Université de Poitiers, Poitiers, FranceCorrespondence: Jean-Pierre Frat, Centre Hospitalier Universitaire de Poitiers, Médecine Intensive Réanimation, 2 rue la Milétrie, Poitiers, 86021, France, Tel +33549444007, Email jean-pierre.fratchu-poitiers.frPurpose of Review: High-flow nasal oxygen and noninvasive ventilation are two alternative strategies to standard oxygen in the management of acute respiratory failure.Discussion: Although high-flow nasal oxygen has gained major popularity in ICUs due to its simplicity of application, good comfort for patients, efficiency in improving oxygenation and promising results in patients with acute hypoxemic respiratory failure, further large clinical trials are needed to confirm its superiority over standard oxygen. Non-invasive ventilation may have deleterious effects, especially in patients exerting strong inspiratory efforts, and no current recommendations support its use in this setting. Protective non-invasive ventilation using higher levels of positive-end expiratory pressure, more prolonged sessions and other interfaces such as the helmet may have beneficial physiological effects leading to it being proposed as alternative to high-flow nasal oxygen in acute hypoxemic respiratory failure. By contrast, non-invasive ventilation is the first-line strategy of oxygenation in patients with acute exacerbation of chronic lung disease, while high-flow nasal oxygen could be an alternative to non-invasive ventilation after partial reversal of respiratory acidosis. Questions remain about the target populations and non-invasive oxygen strategy representing the best alternative to standard oxygen in acute hypoxemic respiratory failure. As concerns acute on-chronic-respiratory failure, the place of high-flow nasal oxygen remains to be evaluated.Keywords: noninvasive ventilation, high-flow nasal oxygen, respiratory insufficiency, acute respiratory failure noninvasive ventilation high-flow nasal oxygen respiratory insufficiency acute respiratory failure Medicine (General) Le Pape S verfasserin aut Coudroy R verfasserin aut Thille AW verfasserin aut In International Journal of General Medicine Dove Medical Press, 2008 (2022), Seite 3121-3132 (DE-627)578539691 (DE-600)2452220-X 11787074 nnns year:2022 pages:3121-3132 https://doaj.org/article/d404407532774fc49d68444891eb99b1 kostenfrei https://www.dovepress.com/noninvasive-oxygenation-in-patients-with-acute-respiratory-failure-cur-peer-reviewed-fulltext-article-IJGM kostenfrei https://doaj.org/toc/1178-7074 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2022 3121-3132 |
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Jean-Pierre Frat,1,2 Sylvain Le Pape,1 Rémi Coudroy,1,2 Arnaud W Thille1,2 1Centre Hospitalier Universitaire de Poitiers, Médecine Intensive Réanimation, Poitiers, France; 2Centre d’Investigation Clinique 1402 ALIVE, INSERM, Université de Poitiers, Poitiers, FranceCorrespondence: Jean-Pierre Frat, Centre Hospitalier Universitaire de Poitiers, Médecine Intensive Réanimation, 2 rue la Milétrie, Poitiers, 86021, France, Tel +33549444007, Email jean-pierre.fratchu-poitiers.frPurpose of Review: High-flow nasal oxygen and noninvasive ventilation are two alternative strategies to standard oxygen in the management of acute respiratory failure.Discussion: Although high-flow nasal oxygen has gained major popularity in ICUs due to its simplicity of application, good comfort for patients, efficiency in improving oxygenation and promising results in patients with acute hypoxemic respiratory failure, further large clinical trials are needed to confirm its superiority over standard oxygen. Non-invasive ventilation may have deleterious effects, especially in patients exerting strong inspiratory efforts, and no current recommendations support its use in this setting. Protective non-invasive ventilation using higher levels of positive-end expiratory pressure, more prolonged sessions and other interfaces such as the helmet may have beneficial physiological effects leading to it being proposed as alternative to high-flow nasal oxygen in acute hypoxemic respiratory failure. By contrast, non-invasive ventilation is the first-line strategy of oxygenation in patients with acute exacerbation of chronic lung disease, while high-flow nasal oxygen could be an alternative to non-invasive ventilation after partial reversal of respiratory acidosis. Questions remain about the target populations and non-invasive oxygen strategy representing the best alternative to standard oxygen in acute hypoxemic respiratory failure. As concerns acute on-chronic-respiratory failure, the place of high-flow nasal oxygen remains to be evaluated.Keywords: noninvasive ventilation, high-flow nasal oxygen, respiratory insufficiency, acute respiratory failure |
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Jean-Pierre Frat,1,2 Sylvain Le Pape,1 Rémi Coudroy,1,2 Arnaud W Thille1,2 1Centre Hospitalier Universitaire de Poitiers, Médecine Intensive Réanimation, Poitiers, France; 2Centre d’Investigation Clinique 1402 ALIVE, INSERM, Université de Poitiers, Poitiers, FranceCorrespondence: Jean-Pierre Frat, Centre Hospitalier Universitaire de Poitiers, Médecine Intensive Réanimation, 2 rue la Milétrie, Poitiers, 86021, France, Tel +33549444007, Email jean-pierre.fratchu-poitiers.frPurpose of Review: High-flow nasal oxygen and noninvasive ventilation are two alternative strategies to standard oxygen in the management of acute respiratory failure.Discussion: Although high-flow nasal oxygen has gained major popularity in ICUs due to its simplicity of application, good comfort for patients, efficiency in improving oxygenation and promising results in patients with acute hypoxemic respiratory failure, further large clinical trials are needed to confirm its superiority over standard oxygen. Non-invasive ventilation may have deleterious effects, especially in patients exerting strong inspiratory efforts, and no current recommendations support its use in this setting. Protective non-invasive ventilation using higher levels of positive-end expiratory pressure, more prolonged sessions and other interfaces such as the helmet may have beneficial physiological effects leading to it being proposed as alternative to high-flow nasal oxygen in acute hypoxemic respiratory failure. By contrast, non-invasive ventilation is the first-line strategy of oxygenation in patients with acute exacerbation of chronic lung disease, while high-flow nasal oxygen could be an alternative to non-invasive ventilation after partial reversal of respiratory acidosis. Questions remain about the target populations and non-invasive oxygen strategy representing the best alternative to standard oxygen in acute hypoxemic respiratory failure. As concerns acute on-chronic-respiratory failure, the place of high-flow nasal oxygen remains to be evaluated.Keywords: noninvasive ventilation, high-flow nasal oxygen, respiratory insufficiency, acute respiratory failure |
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Jean-Pierre Frat,1,2 Sylvain Le Pape,1 Rémi Coudroy,1,2 Arnaud W Thille1,2 1Centre Hospitalier Universitaire de Poitiers, Médecine Intensive Réanimation, Poitiers, France; 2Centre d’Investigation Clinique 1402 ALIVE, INSERM, Université de Poitiers, Poitiers, FranceCorrespondence: Jean-Pierre Frat, Centre Hospitalier Universitaire de Poitiers, Médecine Intensive Réanimation, 2 rue la Milétrie, Poitiers, 86021, France, Tel +33549444007, Email jean-pierre.fratchu-poitiers.frPurpose of Review: High-flow nasal oxygen and noninvasive ventilation are two alternative strategies to standard oxygen in the management of acute respiratory failure.Discussion: Although high-flow nasal oxygen has gained major popularity in ICUs due to its simplicity of application, good comfort for patients, efficiency in improving oxygenation and promising results in patients with acute hypoxemic respiratory failure, further large clinical trials are needed to confirm its superiority over standard oxygen. Non-invasive ventilation may have deleterious effects, especially in patients exerting strong inspiratory efforts, and no current recommendations support its use in this setting. Protective non-invasive ventilation using higher levels of positive-end expiratory pressure, more prolonged sessions and other interfaces such as the helmet may have beneficial physiological effects leading to it being proposed as alternative to high-flow nasal oxygen in acute hypoxemic respiratory failure. By contrast, non-invasive ventilation is the first-line strategy of oxygenation in patients with acute exacerbation of chronic lung disease, while high-flow nasal oxygen could be an alternative to non-invasive ventilation after partial reversal of respiratory acidosis. Questions remain about the target populations and non-invasive oxygen strategy representing the best alternative to standard oxygen in acute hypoxemic respiratory failure. As concerns acute on-chronic-respiratory failure, the place of high-flow nasal oxygen remains to be evaluated.Keywords: noninvasive ventilation, high-flow nasal oxygen, respiratory insufficiency, acute respiratory failure |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">DOAJ063223783</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230309025535.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230228s2022 xx |||||o 00| ||eng c</controlfield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ063223783</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJd404407532774fc49d68444891eb99b1</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">R5-920</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Frat JP</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Noninvasive Oxygenation in Patients with Acute Respiratory Failure: Current Perspectives</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2022</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Jean-Pierre Frat,1,2 Sylvain Le Pape,1 R&eacute;mi Coudroy,1,2 Arnaud W Thille1,2 1Centre Hospitalier Universitaire de Poitiers, M&eacute;decine Intensive R&eacute;animation, Poitiers, France; 2Centre d&rsquo;Investigation Clinique 1402 ALIVE, INSERM, Universit&eacute; de Poitiers, Poitiers, FranceCorrespondence: Jean-Pierre Frat, Centre Hospitalier Universitaire de Poitiers, M&eacute;decine Intensive R&eacute;animation, 2 rue la Mil&eacute;trie, Poitiers, 86021, France, Tel +33549444007, Email jean-pierre.fratchu-poitiers.frPurpose of Review: High-flow nasal oxygen and noninvasive ventilation are two alternative strategies to standard oxygen in the management of acute respiratory failure.Discussion: Although high-flow nasal oxygen has gained major popularity in ICUs due to its simplicity of application, good comfort for patients, efficiency in improving oxygenation and promising results in patients with acute hypoxemic respiratory failure, further large clinical trials are needed to confirm its superiority over standard oxygen. Non-invasive ventilation may have deleterious effects, especially in patients exerting strong inspiratory efforts, and no current recommendations support its use in this setting. Protective non-invasive ventilation using higher levels of positive-end expiratory pressure, more prolonged sessions and other interfaces such as the helmet may have beneficial physiological effects leading to it being proposed as alternative to high-flow nasal oxygen in acute hypoxemic respiratory failure. By contrast, non-invasive ventilation is the first-line strategy of oxygenation in patients with acute exacerbation of chronic lung disease, while high-flow nasal oxygen could be an alternative to non-invasive ventilation after partial reversal of respiratory acidosis. Questions remain about the target populations and non-invasive oxygen strategy representing the best alternative to standard oxygen in acute hypoxemic respiratory failure. As concerns acute on-chronic-respiratory failure, the place of high-flow nasal oxygen remains to be evaluated.Keywords: noninvasive ventilation, high-flow nasal oxygen, respiratory insufficiency, acute respiratory failure</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">noninvasive ventilation</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">high-flow nasal oxygen</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">respiratory insufficiency</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">acute respiratory failure</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medicine (General)</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Le Pape S</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Coudroy 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