Appropriate Use of High-Flow Nasal Oxygen in Hospitalized Patients

High-flow nasal cannulae generally should be used in hypoxemic patients.

Sponsoring Organization: American College of Physicians (ACP)

Background

This is the first guideline focused solely on use of high-flow nasal cannulae (HFNC). Recommendations were based on best available evidence as well as patient values and preferences, potential risks and benefits, and cost.

Key Points

Patients with hypoxemic respiratory failure should be treated initially with HFNC as opposed to noninvasive ventilation (NIV).
Patients with postextubation hypoxemia should be treated with HFNC as opposed to conventional oxygen therapy.

Comment

Use of HFNC to support hypoxemic patients has increased dramatically in the past decade, but guidance on when it is the best option and when it should be a…

Reviewing Author

Patricia Kritek, MD

Disclosures

Editorial BoardsATS Scholar