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Tytuł:
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A Retrospective Study of Short-term versus Long-term Use of High Flow Nasal Cannula after Extubation in the Intensive Care Unit.
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Autorzy:
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Helviz Y; Intensive Care Unit, Shaare Zedek Medical Center, Jerusalem, Israel.
Hajaj T; Department of Ear Nose and Throat, Shaare Zedek Medical Center, Jerusalem, Israel.
Burger A; School of Public Health, Hadassah-Hebrew University, Jerusalem, Israel.
Levin PD; Intensive Care Unit, Shaare Zedek Medical Center, Jerusalem, Israel.
Einav S; Intensive Care Unit, Shaare Zedek Medical Center, Jerusalem, Israel.; Faculty of Medicine, Hebrew University, Jerusalem, Israel.
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Źródło:
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The Israel Medical Association journal : IMAJ [Isr Med Assoc J] 2020 Mar; Vol. 22 (3), pp. 173-177.
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Typ publikacji:
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Comparative Study; Journal Article; Observational Study
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Język:
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English
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Imprint Name(s):
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Original Publication: Ramat Gan, Israel : The Association, c1999-
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MeSH Terms:
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Airway Extubation*
Critical Care/*methods
Oxygen Inhalation Therapy/*methods
Oxygen Inhalation Therapy/*statistics & numerical data
Respiratory Insufficiency/*therapy
Adult ; Aged ; Aged, 80 and over ; Cannula ; Critical Illness ; Female ; Humans ; Intensive Care Units ; Length of Stay/statistics & numerical data ; Male ; Middle Aged ; Oxygen Inhalation Therapy/instrumentation ; Retrospective Studies ; Time ; Young Adult
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Entry Date(s):
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Date Created: 20200310 Date Completed: 20200317 Latest Revision: 20200317
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Update Code:
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20240105
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PMID:
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32147983
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Background: The use of a high flow nasal cannula (HFNC) was examined for different clinical indications in the critically ill.
Objectives: To describe a single center experience with HFNC in post-extubation critical care patients by using clinical indices.
Methods: In this single center study, the authors retrospectively evaluated the outcome of patients who were connected to the HFNC after their extubation in the intensive care unit (ICU). At 48 hours after the extubation, the patients were divided into three groups: the group weaned from HFNC, the ongoing HFNC group, and the already intubated group.
Results: Of the 80 patients who were included, 42 patients were without HFNC support at 48 hours after extubation, 22 and 16 patients were with ongoing HFNC support and already intubated by this time frame, respectively. The mean ROX index (the ratio of SpO2 divided by fraction of inspired oxygen to respiratory rate) at 6 hours of the weaned group was 12.3 versus 9.3 in the ongoing HFNC group, and 8.5 in the reintubated group (P = 0.02). The groups were significantly different by the ICU length of stay, tracheostomy rate, and mortality.
Conclusions: Among patients treated with HFNC post-extubation of those who had a higher ROX index were less likely to undergo reintubation.
