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Oxygen therapy in acute hypoxemic respiratory failure: guidelines from the SRLF-SFMU consensus conference

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  • Additional Information
    • Contributors:
      Hôpitaux Universitaires de Strasbourg (HUS); Nanomédecine Régénérative (NanoRegMed); Université de Strasbourg (UNISTRA)-Institut National de la Santé et de la Recherche Médicale (INSERM); Centre Hospitalier Universitaire de Bordeaux (CHU Bordeaux); Centre hospitalier régional de Metz-Thionville (CHR Metz-Thionville); Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP); Université d'Angers (UA); MitoVasc - Physiopathologie Cardiovasculaire et Mitochondriale (MITOVASC); Université d'Angers (UA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS); CHU Clermont-Ferrand; Unité de Nutrition Humaine (UNH); Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Université Clermont Auvergne (UCA); Centre Hospitalier Universitaire CHU Grenoble (CHUGA); Hôpital de Saint-Brieuc Hôpital Yves Le Foll; Centre hospitalier Saint-Brieuc Paimpol Tréguier (CH Saint-Brieuc Paimpol Tréguier); Groupement Hospitalier Territoire d'Armor (GHT Armor)-Groupement Hospitalier Territoire d'Armor (GHT Armor); Centre Hospitalier Universitaire de Nice (CHU Nice); Groupe hospitalier de la région de Mulhouse et Sud-Alsace; Centre Hospitalier Universitaire de Toulouse (CHU Toulouse); Hypertension pulmonaire : physiopathologie et innovation thérapeutique (HPPIT); Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay; Groupe de recherche clinique CARMAS (Cardiovascular and Respiratory Manifestations of Acute lung injury and Sepsis) (CARMAS); Institut Mondor de Recherche Biomédicale (IMRB); Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12)-CHU Henri Mondor Créteil; Centre hospitalier de Saintes; Centre Hospitalier Universitaire d'Angers (CHU Angers); Institut de recherche en santé, environnement et travail (Irset); Université d'Angers (UA)-Université de Rennes (UR)-École des Hautes Études en Santé Publique (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes (Biosit : Biologie - Santé - Innovation Technologique); CHU Pitié-Salpêtrière AP-HP; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU); One Clinic paris; Hôpital Nord CHU - APHM; Centre d'études et de recherche sur les services de santé et la qualité de vie (CEReSS); Aix Marseille Université (AMU); None
    • Publication Information:
      CCSD
      SpringerOpen
    • Publication Date:
      2024
    • Collection:
      Aix-Marseille Université: HAL
    • Abstract:
      International audience ; 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 ...
    • Relation:
      info:eu-repo/semantics/altIdentifier/pmid/39235690; PUBMED: 39235690; WOS: 001306383000001
    • Accession Number:
      10.1186/s13613-024-01367-2
    • Online Access:
      https://hal.science/hal-04717142
      https://hal.science/hal-04717142v1/document
      https://hal.science/hal-04717142v1/file/s13613-024-01367-2.pdf
      https://doi.org/10.1186/s13613-024-01367-2
    • Rights:
      https://creativecommons.org/licenses/by/4.0/ ; info:eu-repo/semantics/OpenAccess
    • Accession Number:
      edsbas.1B7374AD