作者
Dipayan Chaudhuri, David Granton, Dominic Xiang Wang, Karen EA Burns, Yigal Helviz, Sharon Einav, Vatsal Trivedi, Tommaso Mauri, Jean-Damien Ricard, Jordi Mancebo, Jean-Pierre Frat, Sameer Jog, Gonzalo Hernandez, Salvatore M Maggiore, Lawrence Mbuagbaw, Carol L Hodgson, Samir Jaber, Ewan C Goligher, Laurent Brochard, Bram Rochwerg
发表日期
2020/11/1
来源
Chest
卷号
158
期号
5
页码范围
1934-1946
出版商
Elsevier
简介
Background
Studies have demonstrated that high-flow nasal cannula (HFNC) prevents intubation in acute hypoxic respiratory failure when compared with conventional oxygen therapy (COT). However, the data examining routine HFNC use in the immediate postoperative period are less clear.
Research Question
Is routine HFNC use superior to COT or noninvasive ventilation (NIV) use in preventing intubation in patients postoperatively?
Study Design and Methods
We comprehensively searched databases (PubMed, Embase, Web of Science) to identify randomized controlled trials (RCTs) that compared the effect of HFNC use with that of COT or NIV in the immediate postoperative period on reintubation, escalation of respiratory support, hospital mortality, ICU and hospital length of stay (LOS), postoperative hypoxemia, and treatment complications. We assessed individual study risk of bias (RoB) by using the revised …
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High-flow nasal cannula in the immediate postoperative period: a systematic review and meta-analysis
D Chaudhuri, D Granton, DX Wang, KEA Burns… - Chest, 2020