In this edition of Flow Matters, we outline the recommendations, discuss the evidence-practice gap, and the economics of Nasal High Flow.
For primary respiratory support compared to COT.
Recommendation made with moderate certainty.
*For patients who are already receiving NHF, guideline authors suggest continuing NHF during intubation (conditional recommendation, moderate certainty).
“There is broad evidence that there is a substantial gap between the healthcare that patients receive and the practice that is recommended - also known as the research-practice gap, evidence-practice gap or knowing-doing gap. Evidence suggests that it sometimes takes more than a decade to implement research results in clinical practice...” Kristensen et al. BMC Health Services Research. 2016.2
It is important that awareness of the guidelines and adoption of the recommendations are advocated amongst the clinical community so that clinical practice continues improving and patients receive recommended care.