Clinical guidelines underscore the breadth of application of nasal high flow therapy


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Hundreds of randomized controlled trials, representing decades of research have been consolidated into clinical practice guidelines.

Several of these guidelines can be reviewed, compared and accessed below.

More will be added as they become available.



Please note: use the scroll bar at the bottom of this table to view all the recommendations.

Clinical applications/ scenarios  ESICM20 Guideline ERS21
 Guideline
SSC22
 Guideline 
AARC23
 Guideline
ACP24
 Guideline
 TSANZ25
 Guideline
JSICM, JRS,  JSRCM28 Guideline 
PRIMARY SUPPORT - MEDICAL             
Patients with:
Acute respiratory failure (ARF) 
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Acute respiratory distress syndrome (ARDS)              navy blue wall | Border Store Online: "WALL POPS" NAVY BLUE DOT - Wallpops  - Polyvore | Borders store, Navy blue walls, Blue rooms29 
Acute hypoxemic respiratory failure (AHRF) navy blue wall | Border Store Online: "WALL POPS" NAVY BLUE DOT - Wallpops  - Polyvore | Borders store, Navy blue walls, Blue rooms1 navy blue wall | Border Store Online: "WALL POPS" NAVY BLUE DOT - Wallpops  - Polyvore | Borders store, Navy blue walls, Blue rooms5     navy blue wall | Border Store Online: "WALL POPS" NAVY BLUE DOT - Wallpops  - Polyvore | Borders store, Navy blue walls, Blue rooms15 navy blue wall | Border Store Online: "WALL POPS" NAVY BLUE DOT - Wallpops  - Polyvore | Borders store, Navy blue walls, Blue rooms17   
Acute hypercapnic respiratory failure   navy blue wall | Border Store Online: "WALL POPS" NAVY BLUE DOT - Wallpops  - Polyvore | Borders store, Navy blue walls, Blue rooms6          
Sepsis-induced AHRF      navy blue wall | Border Store Online: "WALL POPS" NAVY BLUE DOT - Wallpops  - Polyvore | Borders store, Navy blue walls, Blue rooms10        
Patients who are immunocompromised with AHRF       navy blue wall | Border Store Online: "WALL POPS" NAVY BLUE DOT - Wallpops  - Polyvore | Borders store, Navy blue walls, Blue rooms13      
PRIMARY SUPPORT - SURGICAL  
Low risk post-operative patients    navy blue wall | Border Store Online: "WALL POPS" NAVY BLUE DOT - Wallpops  - Polyvore | Borders store, Navy blue walls, Blue rooms8          
High risk post-operative patients   navy blue wall | Border Store Online: "WALL POPS" NAVY BLUE DOT - Wallpops  - Polyvore | Borders store, Navy blue walls, Blue rooms18          
High risk post-cardiothoracic surgery patients navy blue wall | Border Store Online: "WALL POPS" NAVY BLUE DOT - Wallpops  - Polyvore | Borders store, Navy blue walls, Blue rooms4            
PRE-ESCALATION SUPPORT  
Pre-oxygenation for peri-intubation patients navy blue wall | Border Store Online: "WALL POPS" NAVY BLUE DOT - Wallpops  - Polyvore | Borders store, Navy blue walls, Blue rooms2            
DE-ESCALATION SUPPORT  
Post-extubation  navy blue wall | Border Store Online: "WALL POPS" NAVY BLUE DOT - Wallpops  - Polyvore | Borders store, Navy blue walls, Blue rooms19     navy blue wall | Border Store Online: "WALL POPS" NAVY BLUE DOT - Wallpops  - Polyvore | Borders store, Navy blue walls, Blue rooms12 navy blue wall | Border Store Online: "WALL POPS" NAVY BLUE DOT - Wallpops  - Polyvore | Borders store, Navy blue walls, Blue rooms16    
Low risk, extubated patients   navy blue wall | Border Store Online: "WALL POPS" NAVY BLUE DOT - Wallpops  - Polyvore | Borders store, Navy blue walls, Blue rooms7          
High risk, extubated patients navy blue wall | Border Store Online: "WALL POPS" NAVY BLUE DOT - Wallpops  - Polyvore | Borders store, Navy blue walls, Blue rooms26 navy blue wall | Border Store Online: "WALL POPS" NAVY BLUE DOT - Wallpops  - Polyvore | Borders store, Navy blue walls, Blue rooms30          
COMPLEMENTARY RESPIRATORY SUPPORT  
NIV-rested AHRF patients   navy blue wall | Border Store Online: "WALL POPS" NAVY BLUE DOT - Wallpops  - Polyvore | Borders store, Navy blue walls, Blue rooms9          
PROPHYLACTIC RESPIRATORY SUPPORT  
Patients requiring oxygen for any reason       navy blue wall | Border Store Online: "WALL POPS" NAVY BLUE DOT - Wallpops  - Polyvore | Borders store, Navy blue walls, Blue rooms14,27      
References and recommendations
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