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Editorial
. 2023 Jul;49(7):840-843.
doi: 10.1007/s00134-023-07048-1. Epub 2023 Apr 28.

Personalized noninvasive respiratory support for acute hypoxemic respiratory failure

Domenico Luca Grieco  1   2 , Laveena Munshi  3   4 , Lise Piquilloud  5
Affiliations
Editorial

Personalized noninvasive respiratory support for acute hypoxemic respiratory failure

Domenico Luca Grieco et al. Intensive Care Med. 2023 Jul.
No abstract available

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Conflict of interest statement

DLG has received payments for travel expenses by Getinge and Air Liquide, personal fees by Gilead, Intersurgical, Fisher and Paykel and GE, and discloses a research grant by GE. LP has received payments for travel expenses and/or lectures fees by Getinge, Air Liquid, Hamilton, GE and Fisher and Paykel. LP has received consultant fees from Löwenstein and Lungpacer.

Figures

Fig. 1
Fig. 1
Example of algorithm (authors’ viewpoint) for the initial management and monitoring of patients with de novo acute hypoxemic respiratory failure with no preexisting cardiac or pulmonary diseases or metabolic acidosis/alkalosis. This approach is specifically intended for de novo acute hypoxemic respiratory failure and is not intended for acute respiratory failure due to cardiogenic pulmonary edema and post-operative respiratory failure. *For patients undergoing standard oxygen through a non-rebreathing facemask, FiO2 can be estimated as: 21% + oxygen flow rate in L/min × 3. Acronyms. PEEP positive end-expiratory pressure. PS pressure support. ΔPES esophageal pressure inspiratory swing. VTe expired tidal volume. P-SILI patient self-inflicted lung injury, VAS visual analog scale, HACOR composite scale including heart rate, acidosis, consciousness, oxygenation and respiratory rate
See this image and copyright information in PMC

Comment on

References

    1. Grieco DL, Maggiore SM, Roca O, et al. Non-invasive ventilatory support and high-flow nasal oxygen as first-line treatment of acute hypoxemic respiratory failure and ARDS. Intensive Care Med. 2021;47:851–866. doi: 10.1007/s00134-021-06459-2. - DOI - PMC - PubMed
    1. Menga LS, Delle Cese L, Rosà T, et al. Respective effects of helmet pressure support, continuous positive airway pressure and nasal high-flow in hypoxemic respiratory failure a randomized crossover clinical trial. Am J Respir Crit Care Med. 2022 doi: 10.1164/rccm.202204-0629OC. - DOI - PMC - PubMed
    1. Ferreyro BL, Angriman F, Munshi L, et al. Association of noninvasive oxygenation strategies with all-cause mortality in adults with acute hypoxemic respiratory failure. JAMA. 2020;324:57. doi: 10.1001/jama.2020.9524. - DOI - PMC - PubMed
    1. Frat J-P, Thille AW, Mercat A, et al. High-flow oxygen through nasal cannula in acute hypoxemic respiratory failure. N Engl J Med. 2015;372:2185–2196. doi: 10.1056/NEJMoa1503326. - DOI - PubMed
    1. Rochwerg B, Einav S, Chaudhuri D, et al. The role for high flow nasal cannula as a respiratory support strategy in adults: a clinical practice guideline. Intensive Care Med. 2020;46:2226–2237. doi: 10.1007/s00134-020-06312-y. - DOI - PMC - PubMed