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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
Author
Takashima, Takuya Tokushima University
Keywords
Acute respiratory failure
Immunocompromised patients
Noninvasive positive pressure ventilation
High flow nasal cannula
Content Type
Journal Article
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.
Journal Title
Shikoku Acta Medica
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
76
Issue
1-2
Start Page
55
End Page
60
Sort Key
55
Published Date
2020-04-25
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences
University Hospital