Non-invasive support for the hypoxaemic patient. (2nd January 2023)

• Record Type: Journal Article
• Authors: Keshavjee, Sara; Jivraj, Naheed K; Tejpal, Ambika; Sklar, Michael C
• Is Part Of: British journal of hospital medicine. Volume 84:Number 1(2023)
• Page Start: 1
• Page End: 10
• Publication Date: 2023-01-02
• Subjects: Acute hypoxaemic respiratory failure -- High-flow nasal oxygen -- Non-invasive ventilation; Medicine -- Periodicals; Hospital care -- Periodicals; 610.5
• DOI: 10.12968/hmed.2022.0420
• Languages: English
• ISSNs: 1750-8460

Abstract

Abstract : Optimisation of oxygenation strategies in patients with hypoxaemic respiratory failure is a top priority for acute care physicians, as hypoxaemic respiratory failure is one of the leading causes of admission. Various oxygenation methods range from non-invasive face masks to high flow nasal cannulae, which have advantages and disadvantages for this heterogeneous patient group. Focus has turned toward examining the benefits of non-invasive ventilation, as this was heavily researched in resource-limited settings during the COVID-19 pandemic. The oxygenation strategy should be determined on an individualised basis for patients, and with new evidence from the COVID-19 pandemic, providers may now consider placing further emphasis on non-invasive approaches. As non-invasive ventilation continues to be used in increasing frequency, new methods of monitoring patient response, including when to escalate ventilation strategy, will need to be validated.