Top

Published in:

Open Access 01-12-2017 | Research

Respiratory support after extubation: noninvasive ventilation or high-flow nasal cannula, as appropriate

Authors: Tommaso Mauri, Giacomo Grasselli, Samir Jaber

Published in: Annals of Intensive Care | Issue 1/2017

Excerpt

Decreasing the duration of invasive mechanical ventilation by early safe extubation is a major clinical goal in intensive care unit (ICU) [1]. Prolonged intubation increases the risk of ventilator-induced lung injury, ventilator-induced diaphragm dysfunction, myopathy and infections. Nonetheless, patients’ management in the post-extubation period can be challenging and every effort should be made to avoid re-intubation, which is associated with significantly increased morbidity and mortality [1]. …

Béduneau G, Pham T, Schortgen F, Piquilloud L, Zogheib E, Jonas M, Grelon F, Runge I, Terzi N, Grangé S, Barberet G, Guitard PG, Frat JP, Constan A, Chretien JM, Mancebo J, Mercat A, Richard JM, Brochard L, WIND (Weaning according to a New Definition) Study Group and the REVA (Réseau Européen de Recherche en Ventilation Artificielle) Network. Epidemiology of weaning outcome according to a new definition. The WIND study. Am J Respir Crit Care Med. 2017;195(6):772–83.CrossRefPubMed

Fernandez R, Subira C, Frutos-Vivar F, Rialp G, Laborda C, Masclans JR, Lesmes A, Panadero L, Hernandez G. High-flow oxygen to prevent postextubation respiratory failure in high-risk nonhypercapnic patients: a randomized multicenter trial. Ann Intensive Care. 2017. doi:10.1186/s13613-017-0270-9.

Hernández G, Vaquero C, González P, Subira C, Frutos-Vivar F, Rialp G, Laborda C, Colinas L, Cuena R, Fernández R. Effect of postextubation high-flow nasal cannula vs conventional oxygen therapy on reintubation in low-risk patients: a randomized clinical trial. JAMA. 2016;315(13):1354–61.CrossRefPubMed

Hernández G, Vaquero C, Colinas L, Cuena R, González P, Canabal A, Sanchez S, Rodriguez ML, Villasclaras A, Fernández R. Effect of postextubation high-flow nasal cannula vs noninvasive ventilation on reintubation and postextubation respiratory failure in high-risk patients: a randomized clinical trial. JAMA. 2016;316(15):1565–74.CrossRefPubMed

Nava S, Ambrosino N, Clini E, Prato M, Orlando G, Vitacca M, Brigada P, Fracchia C, Rubini F. Noninvasive mechanical ventilation in the weaning of patients with respiratory failure due to chronic obstructive pulmonary disease. A randomized, controlled trial. Ann Intern Med. 1998;128(9):721–8.CrossRefPubMed

Mahul M, Jung B, Galia F, Molinari N, de Jong A, Coisel Y, Vaschetto R, Matecki S, Chanques G, Brochard L, Jaber S. Spontaneous breathing trial and post-extubation work of breathing in morbidly obese critically ill patients. Crit Care. 2016;20(1):346.CrossRefPubMedPubMedCentral

Papazian L, Corley A, Hess D, Fraser JF, Frat JP, Guitton C, Jaber S, Maggiore SM, Nava S, Rello J, Ricard JD, Stephan F, Trisolini R, Azoulay E. Use of high-flow nasal cannula oxygenation in ICU adults: a narrative review. Intensive Care Med. 2016;42(9):1336–49.CrossRefPubMed

Jaber S, Monnin M, Girard M, Conseil M, Cisse M, Carr J, Mahul M, Delay JM, Belafia F, Chanques G, Molinari N, De Jong A. Apnoeic oxygenation via high-flow nasal cannula oxygen combined with non-invasive ventilation preoxygenation for intubation in hypoxaemic patients in the intensive care unit: the single-centre, blinded, randomised controlled OPTINIV trial. Intensive Care Med. 2016;42(12):1877–87.CrossRefPubMed

Futier E, Paugam-Burtz C, Godet T, Khoy-Ear L, Rozencwajg S, Delay JM, Verzilli D, Dupuis J, Chanques G, Bazin JE, Constantin JM, Pereira B, Jaber S, OPERA Study Investigators. Effect of early postextubation high-flow nasal cannula vs conventional oxygen therapy on hypoxaemia in patients after major abdominal surgery: a French multicentre randomised controlled trial (OPERA). Intensive Care Med. 2016;42(12):1888–98.CrossRefPubMed

10.

Mauri T, Turrini C, Eronia N, Grasselli G, Volta CA, Bellani G, Pesenti A. Physiologic effects of high-flow nasal cannula in acute hypoxemic respiratory failure. Am J Respir Crit Care Med. 2017. doi:10.1164/rccm.201605-0916OC.

Title: Respiratory support after extubation: noninvasive ventilation or high-flow nasal cannula, as appropriate
Authors: Tommaso Mauri
Giacomo Grasselli
Samir Jaber
Publication date: 01-12-2017
Publisher: Springer Paris
Published in: Annals of Intensive Care / Issue 1/2017
Electronic ISSN: 2110-5820
DOI: https://doi.org/10.1186/s13613-017-0271-8

At a glance: The STEP trials

Springer Medicine

Respiratory support after extubation: noninvasive ventilation or high-flow nasal cannula, as appropriate

Excerpt

At a glance: The STEP trials

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 1/2017

How to reduce cisatracurium consumption in ARDS patients: the TOF-ARDS study

Procalcitonin-guided antibiotic therapy in intensive care unit patients: a systematic review and meta-analysis

Endocan as an early biomarker of severity in patients with acute respiratory distress syndrome

Emergence of antimicrobial resistance to Pseudomonas aeruginosa in the intensive care unit: association with the duration of antibiotic exposure and mode of administration

Acute kidney injury in the ICU: from injury to recovery: reports from the 5th Paris International Conference

Prone positioning in acute respiratory distress syndrome after abdominal surgery: a multicenter retrospective study