Oxygen therapy in acute hypoxemic respiratory failure: guidelines from the SRLF-SFMU consensus conference
Abstract Introduction Although largely used, the place of oxygen therapy and its devices in patients with acute hypoxemic respiratory failure (ARF) deserves to be clarified. The French Intensive Care Society (Société de Réanimation de Langue Française, SRLF) and the French Emergency Medicine Society...
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SpringerOpen
2024-09-01
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| Series: | Annals of Intensive Care |
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| Online Access: | https://doi.org/10.1186/s13613-024-01367-2 |
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| author | Julie Helms Pierre Catoire Laure Abensur Vuillaume Héloise Bannelier Delphine Douillet Claire Dupuis Laura Federici Melissa Jezequel Mathieu Jozwiak Khaldoun Kuteifan Guylaine Labro Gwendoline Latournerie Fabrice Michelet Xavier Monnet Romain Persichini Fabien Polge Dominique Savary Amélie Vromant Imane Adda Sami Hraiech |
| author_facet | Julie Helms Pierre Catoire Laure Abensur Vuillaume Héloise Bannelier Delphine Douillet Claire Dupuis Laura Federici Melissa Jezequel Mathieu Jozwiak Khaldoun Kuteifan Guylaine Labro Gwendoline Latournerie Fabrice Michelet Xavier Monnet Romain Persichini Fabien Polge Dominique Savary Amélie Vromant Imane Adda Sami Hraiech |
| author_sort | Julie Helms |
| collection | DOAJ |
| description | Abstract Introduction Although largely used, the place of oxygen therapy and its devices in patients with acute hypoxemic respiratory failure (ARF) deserves to be clarified. The French Intensive Care Society (Société de Réanimation de Langue Française, SRLF) and the French Emergency Medicine Society (Société Française de Médecine d’Urgence, SFMU) organized a consensus conference on oxygen therapy in ARF (excluding acute cardiogenic pulmonary oedema and hypercapnic exacerbation of chronic obstructive diseases) in December 2023. Methods A committee without any conflict of interest (CoI) with the subject defined 7 generic questions and drew up a list of sub questions according to the population, intervention, comparison and outcomes (PICO) model. An independent work group reviewed the literature using predefined keywords. The quality of the data was assessed using the GRADE methodology. Fifteen experts in the field from both societies proposed their own answers in a public session and answered questions from the jury (a panel of 16 critical-care and emergency medicine physicians, nurses and physiotherapists without any CoI) and the public. The jury then met alone for 48 h to write its recommendations. Results The jury provided 22 statements answering 11 questions: in patients with ARF (1) What are the criteria for initiating oxygen therapy? (2) What are the targets of oxygen saturation? (3) What is the role of blood gas analysis? (4) When should an arterial catheter be inserted? (5) Should standard oxygen therapy, high-flow nasal cannula oxygen therapy (HFNC) or continuous positive airway pressure (CPAP) be preferred? (6) What are the indications for non-invasive ventilation (NIV)? (7) What are the indications for invasive mechanical ventilation? (8) Should awake prone position be used? (9) What is the role of physiotherapy? (10) Which criteria necessarily lead to ICU admission? (11) Which oxygenation device should be preferred for patients for whom a do-not-intubate decision has been made? Conclusion These recommendations should optimize the use of oxygen during ARF. |
| format | Article |
| id | doaj-art-2dffecfef3e94117bf3cedd4dc91d9f2 |
| institution | OA Journals |
| issn | 2110-5820 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | SpringerOpen |
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| series | Annals of Intensive Care |
| spelling | doaj-art-2dffecfef3e94117bf3cedd4dc91d9f22025-08-20T02:17:48ZengSpringerOpenAnnals of Intensive Care2110-58202024-09-0114111510.1186/s13613-024-01367-2Oxygen therapy in acute hypoxemic respiratory failure: guidelines from the SRLF-SFMU consensus conferenceJulie Helms0Pierre Catoire1Laure Abensur Vuillaume2Héloise Bannelier3Delphine Douillet4Claire Dupuis5Laura Federici6Melissa Jezequel7Mathieu Jozwiak8Khaldoun Kuteifan9Guylaine Labro10Gwendoline Latournerie11Fabrice Michelet12Xavier Monnet13Romain Persichini14Fabien Polge15Dominique Savary16Amélie Vromant17Imane Adda18Sami Hraiech19Service de Médecine Intensive-Réanimation, Nouvel Hôpital Civil, Hôpitaux Universitaires de StrasbourgEmergency Medicine Department, University Hospital of BordeauxSAMU57, Service d’Accueil des Urgences, Centre Hospitalier Régional Metz-ThionvilleService d’Accueil des Urgences – SMUR Hôpital Pitié Salpêtrière Assistance Publique - Hôpitaux de Paris (APHP)Department of Emergency Medicine, University Hospital of AngersCHU Clermont-Ferrand, Service de Réanimation MédicaleService d’Anesthésie Réanimation, Centre Hospitalier D’AjaccioUnité de Soins Intensifs Cardiologiques, Hôpital de Saint BrieucService de Médecine Intensive Réanimation, CHU de NiceService de Réanimation Médicale GHRMSAService de Réanimation Médicale GHRMSAPole de Médecine d’Urgence- CHU ToulouseService de Réanimation, Hôpital de Saint BrieucAP-HP, Service de Médecine Intensive-Réanimation, Hôpital de Bicêtre, DMU 4 CORREVE, Inserm UMR S_999, FHU SEPSIS, CARMAS, Université Paris-SaclayService de Réanimation et Soins Continus, CH de SaintesHôpitaux Universitaires de Paris Centre Site Cochin APHPDépartement de Médecine d’Urgences, CHU d’AngersService d’Accueil des Urgences, Hôpital La Pitié SalpetrièreDepartment of Research, One ClinicService de Médecine Intensive - Réanimation, AP-HM, Hôpital NordAbstract Introduction Although largely used, the place of oxygen therapy and its devices in patients with acute hypoxemic respiratory failure (ARF) deserves to be clarified. The French Intensive Care Society (Société de Réanimation de Langue Française, SRLF) and the French Emergency Medicine Society (Société Française de Médecine d’Urgence, SFMU) organized a consensus conference on oxygen therapy in ARF (excluding acute cardiogenic pulmonary oedema and hypercapnic exacerbation of chronic obstructive diseases) in December 2023. Methods A committee without any conflict of interest (CoI) with the subject defined 7 generic questions and drew up a list of sub questions according to the population, intervention, comparison and outcomes (PICO) model. An independent work group reviewed the literature using predefined keywords. The quality of the data was assessed using the GRADE methodology. Fifteen experts in the field from both societies proposed their own answers in a public session and answered questions from the jury (a panel of 16 critical-care and emergency medicine physicians, nurses and physiotherapists without any CoI) and the public. The jury then met alone for 48 h to write its recommendations. Results The jury provided 22 statements answering 11 questions: in patients with ARF (1) What are the criteria for initiating oxygen therapy? (2) What are the targets of oxygen saturation? (3) What is the role of blood gas analysis? (4) When should an arterial catheter be inserted? (5) Should standard oxygen therapy, high-flow nasal cannula oxygen therapy (HFNC) or continuous positive airway pressure (CPAP) be preferred? (6) What are the indications for non-invasive ventilation (NIV)? (7) What are the indications for invasive mechanical ventilation? (8) Should awake prone position be used? (9) What is the role of physiotherapy? (10) Which criteria necessarily lead to ICU admission? (11) Which oxygenation device should be preferred for patients for whom a do-not-intubate decision has been made? Conclusion These recommendations should optimize the use of oxygen during ARF.https://doi.org/10.1186/s13613-024-01367-2Acute respiratory failureAcute respiratory distressOxygen therapyConference consensusGuidelines |
| spellingShingle | Julie Helms Pierre Catoire Laure Abensur Vuillaume Héloise Bannelier Delphine Douillet Claire Dupuis Laura Federici Melissa Jezequel Mathieu Jozwiak Khaldoun Kuteifan Guylaine Labro Gwendoline Latournerie Fabrice Michelet Xavier Monnet Romain Persichini Fabien Polge Dominique Savary Amélie Vromant Imane Adda Sami Hraiech Oxygen therapy in acute hypoxemic respiratory failure: guidelines from the SRLF-SFMU consensus conference Annals of Intensive Care Acute respiratory failure Acute respiratory distress Oxygen therapy Conference consensus Guidelines |
| title | Oxygen therapy in acute hypoxemic respiratory failure: guidelines from the SRLF-SFMU consensus conference |
| title_full | Oxygen therapy in acute hypoxemic respiratory failure: guidelines from the SRLF-SFMU consensus conference |
| title_fullStr | Oxygen therapy in acute hypoxemic respiratory failure: guidelines from the SRLF-SFMU consensus conference |
| title_full_unstemmed | Oxygen therapy in acute hypoxemic respiratory failure: guidelines from the SRLF-SFMU consensus conference |
| title_short | Oxygen therapy in acute hypoxemic respiratory failure: guidelines from the SRLF-SFMU consensus conference |
| title_sort | oxygen therapy in acute hypoxemic respiratory failure guidelines from the srlf sfmu consensus conference |
| topic | Acute respiratory failure Acute respiratory distress Oxygen therapy Conference consensus Guidelines |
| url | https://doi.org/10.1186/s13613-024-01367-2 |
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