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ID 114856
タイトル別表記
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
著者
髙島, 拓也 徳島大学
キーワード
Acute respiratory failure
Immunocompromised patients
Noninvasive positive pressure ventilation
High flow nasal cannula
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
76
1-2
開始ページ
55
終了ページ
60
並び順
55
発行日
2020-04-25
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
医学系
病院