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High-flow nasal cannula oxygen therapy alone or with non-invasive ventilation during the weaning period after extubation in ICU: the prospective randomised controlled HIGH-WEAN protocol.


ABSTRACT: INTRODUCTION:Recent practice guidelines suggest applying non-invasive ventilation (NIV) to prevent postextubation respiratory failure in patients at high risk of extubation failure in intensive care unit (ICU). However, such prophylactic NIV has been only a conditional recommendation given the low certainty of evidence. Likewise, high-flow nasal cannula (HFNC) oxygen therapy has been shown to reduce reintubation rates as compared with standard oxygen and to be as efficient as NIV in patients at high risk. Whereas HFNC may be considered as an optimal therapy during the postextubation period, HFNC associated with NIV could be an additional means of preventing postextubation respiratory failure. We are hypothesising that treatment associating NIV with HFNC between NIV sessions may be more effective than HFNC alone and may reduce the reintubation rate in patients at high risk. METHODS AND ANALYSIS:This study is an investigator-initiated, multicentre randomised controlled trial comparing HFNC alone or with NIV sessions during the postextubation period in patients at high risk of extubation failure in the ICU. Six hundred patients will be randomised with a 1:1 ratio in two groups according to the strategy of oxygenation after extubation. The primary outcome is the reintubation rate within the 7 days following planned extubation. Secondary outcomes include the number of patients who meet the criteria for moderate/severe respiratory failure, ICU length of stay and mortality up to day 90. ETHICS AND DISSEMINATION:The study has been approved by the ethics committee and patients will be included after informed consent. The results will be submitted for publication in peer-reviewed journals. TRIAL REGISTRATION NUMBER:NCT03121482.

SUBMITTER: Thille AW 

PROVIDER: S-EPMC6129104 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature

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High-flow nasal cannula oxygen therapy alone or with non-invasive ventilation during the weaning period after extubation in ICU: the prospective randomised controlled HIGH-WEAN protocol.

Thille Arnaud W AW   Muller Grégoire G   Gacouin Arnaud A   Coudroy Rémi R   Demoule Alexandre A   Sonneville Romain R   Beloncle François F   Girault Christophe C   Dangers Laurence L   Lautrette Alexandre A   Cabasson Séverin S   Rouzé Anahita A   Vivier Emmanuel E   Le Meur Anthony A   Ricard Jean-Damien JD   Razazi Keyvan K   Barberet Guillaume G   Lebert Christine C   Ehrmann Stephan S   Picard Walter W   Bourenne Jeremy J   Pradel Gael G   Bailly Pierre P   Terzi Nicolas N   Buscot Matthieu M   Lacave Guillaume G   Danin Pierre-Eric PE   Nanadoumgar Hodanou H   Gibelin Aude A   Zanre Lassane L   Deye Nicolas N   Ragot Stéphanie S   Frat Jean-Pierre JP  

BMJ open 20180905 9


<h4>Introduction</h4>Recent practice guidelines suggest applying non-invasive ventilation (NIV) to prevent postextubation respiratory failure in patients at high risk of extubation failure in intensive care unit (ICU). However, such prophylactic NIV has been only a conditional recommendation given the low certainty of evidence. Likewise, high-flow nasal cannula (HFNC) oxygen therapy has been shown to reduce reintubation rates as compared with standard oxygen and to be as efficient as NIV in pati  ...[more]

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