ID | 114856 |
Title Alternative | Comparison of noninvasive positive pressure ventilation and high-flow nasal cannula for immunocompromised patients with acute respiratory failure
免疫不全患者に対するHFNC
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Author |
Itagaki, Taiga
Tokushima University
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Nakanishi, Nobuto
Tokushima University
Oto, Jun
Tokushima University
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Keywords | Acute respiratory failure
Immunocompromised patients
Noninvasive positive pressure ventilation
High flow nasal cannula
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Content Type |
Journal Article
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Description | Background : Non-invasive positive pressure ventilation (NPPV) is highly recommended for immunocompromised patients with acute respiratory failure. In this population it remains uncertain, however, whether high flow nasal canula(HFNC)is as beneficial as NPPV. Methods : We retrospectively studied immunocompromised patients with acute respiratory failure admitted to our ICU from 2011 to 2018. The background and clinical outcomes of patients initially treated with HFNC and NPPV were compared. Results : Upon admission, 12 patients were treated with HFNC and 10 with NPPV. While the length of ICU stay was significantly shorter in HFNC group (HFNC4.6days vs. NPPV13.8days, p=0.02), no intergroup difference was seen in ICU mortality (16.7% vs.30.0%, p=0.46)or intubation rate(33.3% vs.50.0%, p=0.43). Conclusions : For immunocompromised patients with acute respiratory failure, HFNC may be an alternative to NPPV. Further prospective investigation is warranted.
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Journal Title |
Shikoku Acta Medica
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ISSN | 00373699
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NCID | AN00102041
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Publisher | 徳島医学会
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Volume | 76
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Issue | 1-2
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Start Page | 55
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End Page | 60
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Sort Key | 55
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Published Date | 2020-04-25
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FullText File | |
language |
jpn
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TextVersion |
Publisher
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departments |
Medical Sciences
University Hospital
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