The value of high-flow nasal cannula oxygen therapy in treating novel coronavirus pneumonia
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2021;9(10):8 Eur J Clin Invest. 2020 Oct 31 : e13435.What this means for my practice?
The results of this study may suggest that the application of high-flow nasal cannula oxygen therapy results in a significant improvement in vitals and a reduction in length of ICU stay in severe, hospitalized COVID-19 patients. This study was limited by the very small sample size of 22 patients. Larger trials are required to confirm the efficacy of high flow nasal cannula oxygen therapy in hospitalized patients with severe COVID-19.
Study Summary
Twenty-two patients hospitalized with severe COVID-19 were randomized to receive oxygen therapy using a high-flow nasal cannula oxygen system (n=22) or conventional oxygen therapy (n=10). Outcomes of interest included vitals (i.e., heart rate; respiratory rate; PaO2/FiO2 oxygenation index), infection indexes (C-reactive protein [CRP]; procalcitonin [PCT]; white blood cell count; lymphocyte count), and length of stay in the hospital and intensive care unit (ICU). Vitals and infection indexes were assessed up to 72 hours post-treatment. Results revealed significantly favourable oxygenation indices up to 72 hours, lower heart rate and respiratory rate at 6 hours, favourable lymphocyte count and CRP levels after application, and short length of ICU stay in the high-flow oxygen therapy group compared to the conventional group (p<0.05 for all).
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