Acute Respiratory Failure Clinical Trial
Official title:
Early Initiation of High-flow Nasal Cannula Oxygen Therapy in Patients With Acute Respiratory Failure in the Emergency Department: A Before-after Study
The aim of the study is to compare the efficiency on respiratory failure regression of high-flow nasal oxygen therapy versus standard oxygen in patients admitted to the ED for de novo acute respiratory failure.
Prospective observational before-after study at the ED in two French centers.
Selection of patients with acute hypoxemic respiratory failure at the ED.
Application of oxygen strategy according to the period:
- before period: standard oxygen delivered through nasal cannula, face mask or
non-rebreathing reservoir mask, with a flow rate adjusted to maintain a pulse oxymetry
of at least 92%.
- after period: high-flow oxygen therapy continuously applied via large-bore nasal prongs
with a gas flow rate of 50 L/min and a FiO2 adjusted to maintain a pulse oxymetry at
least 92%.
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