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- Title
Efficacia dell'ossigenoterapia con le cannule nasali ad alto flusso nella prevenzione della reintubazione del paziente critico: revisione della letteratura.
- Authors
BINDA, FILIPPO; IOTTI, MARCO; ADAMINI, ILEANA; GALAZZI, ALESSANDRO
- Abstract
Introduction: post-extubation respiratory failure occurs in 10-20% of patients after extubation and requires reintubation within 48 to 72 hours. High-flow nasal cannula (HFNC) oxygen therapy or non-invasive positive pressure ventilation (NIPPV) may reduce the risk of reintubation. Objective: to evaluate the efficacy of HFNC oxygen therapy in the adult patients to prevent the risk of endotracheal reintubation. Materials and methods: a literature review was performed on Pubmed, Cinahl and Cochrane database. Only articles published in the last 5 years have been included. Results: all 6 articles identified are randomized controlled trials. The studies compare the use of HFNC versus conventional oxygen therapy (COT) or NIPPV as the first post-extubation treatment and enroll both medical and surgical patients. The main outcome of each study is a lower reintubation ratio in patients undergoing HFNC oxygen therapy, while in the comparison between HFNC and NIPPV the reintubation ratio is the same. There is no significant advantage for ICU mortality and ICU length of stay. Conclusions: compared with COT, HFNC oxygen therapy could reduce the rate of reintubation in adult patients after extubation, despite showing no benefit in mortality or ICU length of stay. It could be considered a valid alternative to NIPPV thanks to the equivalent clinical outcomes and the higher level of comfort.
- Subjects
RESPIRATORY insufficiency treatment; DISEASE relapse prevention; CINAHL database; CONCEPTUAL structures; CRITICALLY ill; LENGTH of stay in hospitals; INFORMATION storage &; retrieval systems; MEDICAL databases; INTENSIVE care units; MEDLINE; MORTALITY; ONLINE information services; OXYGEN therapy; PATIENTS; TRACHEA intubation; SYSTEMATIC reviews; POSITIVE pressure ventilation; NASAL cannula
- Publication
SCENARIO: Official Italian Journal of ANIARTI, 2018, Vol 35, Issue 4, p6
- ISSN
1592-5951
- Publication type
Article