Abstract
[3] Gases with constant temperature and humidity provided through a high-flow nasal cannula can maintain the function of the mucociliary clearance system[4] and reduce upper airway resistance and breathing effort of patients to improve gas exchange and partial ventilation functions. The Pulmonary & Critical Care Medicine Group of Chinese Thoracic Society, Pulmonary & Critical Care Medicine Committee of Chinese Association of Chest Physicians, took the lead in writing an Expert Consensus on Clinical Standardized Application of HFNC Oxygen therapy in Adults, with the goal of Standardizing the clinical application of HFNC in China [Supplementary Digital content, http://links.lww.com/CM9/A207]. Criteria for low risk of reintubation in the intensive care unit (ICU) (meet all following criteria): age <65 years; acute physiology and chronic health evaluation score II (APACHE II) < 12 points; body mass index (BMI) <30 kg/m2; patent airway; full expectoration; successfully weaning; number of complication ≤1; without heart failure, moderate-severe chronic obstructive pulmonary disease (COPD) and long-term mechanic ventilation.
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1 Department of Pulmonary & Critical Care Medicine, Chinese People Liberation Army (PLA) General Hospital, Beijing 100853, China
2 Department of Critical Care Medicine, Peking Union Medical College Hospital, Beijing 100005, China
3 Department of Pulmonary & Critical Care Medicine, China and Japan Friendship Hospital, Beijing 100029, China
4 Department of Pulmonary & Critical Care Medicine, Beijing Chaoyang Hospital affiliated to Capital Medical University, Beijing 100020, China
5 Department of Pulmonary & Critical Care Medicine, Peking University Third Hospital, Beijing 100191, China
6 Department of Respiratory Medicine, Changhai Hospital, Shanghai 200433, China
7 Department of Respiratory Medicine, Ruijin Hospital Affiliated to the Shanghai Jiao Tong University Medical School, Shanghai 200025, China
8 Department of Respiratory Medicine, XiangYa Hospital, Central South University, Changsha, Hunan 410008, China
9 Department of Pulmonary & Critical Care Medicine, XiangYa Second Hospital of Central South University, Changsha, Hunan 410011, China
10 Department of Pulmonary & Critical Care Medicine, Xinqiao Hospital of the Third Military Medical University, Chongqing 400037, China
11 Department of Pulmonary & Critical Care Medicine, Xijing Hospital of Fourth Military Medical University, Xi’an, Shaanxi 710032, China
12 Department of Respiratory Medicine, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830000, China
13 Department of Pulmonary & Critical Care Medicine, Beijing Hospital, Beijing 100730, China
14 Department of Respiratory Medicine, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
15 Department of Respiratory Medicine, The First Bethune Hospital of Jilin University, Changchun, Jilin 130021, China