ERS International Congress 2021: Highlights from the Respiratory Intensive Care Assembly

Overview

Journal ERJ Open Res

Specialty Pulmonary Medicine

Date 2022 May 26

PMID 35615411

Authors

Aileen Kharat

Carla Ribeiro

Berrin Er

Christoph Fisser

Daniel Lopez-Padilla

Foteini Chatzivasiloglou

Leo M A Heunks

Maxime Patout

Rebecca F DCruz

Affiliations

Soon will be listed here.

Abstract

Early Career Members of Assembly 2 (Respiratory Intensive Care) attended the European Respiratory Society International Congress through a virtual platform in 2021. Sessions of interest to our assembly members included symposia on the implications of acute respiratory distress syndrome phenotyping on diagnosis and treatment, safe applications of noninvasive ventilation in hypoxaemic respiratory failure, and new developments in mechanical ventilation and weaning, and a guidelines session on applying high-flow therapy in acute respiratory failure. These sessions are summarised in this article.

Citing Articles

High-flow nasal oxygen in acute hypoxemic respiratory failure: A narrative review of the evidence before and after the COVID-19 pandemic.

Genecand L, Agoritsas T, Ehrensperger C, Kharat A, Marti C Front Med (Lausanne). 2022; 9:1068327.

PMID: 36507524 PMC: 9732102. DOI: 10.3389/fmed.2022.1068327.

References

Ni Y, Luo J, Yu H, Liu D, Ni Z, Cheng J . Can High-flow Nasal Cannula Reduce the Rate of Endotracheal Intubation in Adult Patients With Acute Respiratory Failure Compared With Conventional Oxygen Therapy and Noninvasive Positive Pressure Ventilation?: A Systematic Review and.... Chest. 2017; 151(4):764-775. DOI: 10.1016/j.chest.2017.01.004. View

Lee C, Mankodi D, Shaharyar S, Ravindranathan S, Danckers M, Herscovici P . High flow nasal cannula versus conventional oxygen therapy and non-invasive ventilation in adults with acute hypoxemic respiratory failure: A systematic review. Respir Med. 2016; 121:100-108. DOI: 10.1016/j.rmed.2016.11.004. View

Faust H, Mangalmurti N . Collateral damage: necroptosis in the development of lung injury. Am J Physiol Lung Cell Mol Physiol. 2019; 318(2):L215-L225. PMC: 7052671. DOI: 10.1152/ajplung.00065.2019. View

Grieco D, Menga L, Raggi V, Bongiovanni F, Anzellotti G, Tanzarella E . Physiological Comparison of High-Flow Nasal Cannula and Helmet Noninvasive Ventilation in Acute Hypoxemic Respiratory Failure. Am J Respir Crit Care Med. 2019; 201(3):303-312. DOI: 10.1164/rccm.201904-0841OC. View

Drake M . High-Flow Nasal Cannula Oxygen in Adults: An Evidence-based Assessment. Ann Am Thorac Soc. 2017; 15(2):145-155. DOI: 10.1513/AnnalsATS.201707-548FR. View

Komorowski M . Artificial intelligence in intensive care: are we there yet?. Intensive Care Med. 2019; 45(9):1298-1300. DOI: 10.1007/s00134-019-05662-6. View

Goligher E, Jonkman A, Dianti J, Vaporidi K, Beitler J, Patel B . Clinical strategies for implementing lung and diaphragm-protective ventilation: avoiding insufficient and excessive effort. Intensive Care Med. 2020; 46(12):2314-2326. PMC: 7605467. DOI: 10.1007/s00134-020-06288-9. View

Ni Y, Luo J, Yu H, Liu D, Liang B, Liang Z . The effect of high-flow nasal cannula in reducing the mortality and the rate of endotracheal intubation when used before mechanical ventilation compared with conventional oxygen therapy and noninvasive positive pressure ventilation. A systematic.... Am J Emerg Med. 2017; 36(2):226-233. DOI: 10.1016/j.ajem.2017.07.083. View

Patel B, Haar S, Handslip R, Auepanwiriyakul C, Lee T, Patel S . Natural history, trajectory, and management of mechanically ventilated COVID-19 patients in the United Kingdom. Intensive Care Med. 2021; 47(5):549-565. PMC: 8111053. DOI: 10.1007/s00134-021-06389-z. View

10.

Matthay M, Zemans R, Zimmerman G, Arabi Y, Beitler J, Mercat A . Acute respiratory distress syndrome. Nat Rev Dis Primers. 2019; 5(1):18. PMC: 6709677. DOI: 10.1038/s41572-019-0069-0. View

11.

DCruz R, Hart N, Kaltsakas G . High-flow therapy: physiological effects and clinical applications. Breathe (Sheff). 2021; 16(4):200224. PMC: 7910031. DOI: 10.1183/20734735.0224-2020. View

12.

Goligher E, Dres M, Patel B, Sahetya S, Beitler J, Telias I . Lung- and Diaphragm-Protective Ventilation. Am J Respir Crit Care Med. 2020; 202(7):950-961. PMC: 7710325. DOI: 10.1164/rccm.202003-0655CP. View

13.

Hadfield D, Rose L, Reid F, Cornelius V, Hart N, Finney C . Neurally adjusted ventilatory assist versus pressure support ventilation: a randomized controlled feasibility trial performed in patients at risk of prolonged mechanical ventilation. Crit Care. 2020; 24(1):220. PMC: 7224141. DOI: 10.1186/s13054-020-02923-5. View

14.

Tonelli R, Marchioni A, Tabbi L, Fantini R, Busani S, Castaniere I . Spontaneous Breathing and Evolving Phenotypes of Lung Damage in Patients with COVID-19: Review of Current Evidence and Forecast of a New Scenario. J Clin Med. 2021; 10(5). PMC: 7958611. DOI: 10.3390/jcm10050975. View

15.

Diehl J, Piquilloud L, Vimpere D, Aissaoui N, Guerot E, Augy J . Physiological effects of adding ECCOR to invasive mechanical ventilation for COPD exacerbations. Ann Intensive Care. 2020; 10(1):126. PMC: 7523267. DOI: 10.1186/s13613-020-00743-y. View

16.

Famous K, Delucchi K, Ware L, Kangelaris K, Liu K, Thompson B . Acute Respiratory Distress Syndrome Subphenotypes Respond Differently to Randomized Fluid Management Strategy. Am J Respir Crit Care Med. 2016; 195(3):331-338. PMC: 5328179. DOI: 10.1164/rccm.201603-0645OC. View

17.

Pisani L, Vega M . Use of Nasal High Flow in Stable COPD: Rationale and Physiology. COPD. 2017; 14(3):346-350. DOI: 10.1080/15412555.2017.1315715. View

18.

Grieco D, Maggiore S, Roca O, Spinelli E, Patel B, Thille A . Non-invasive ventilatory support and high-flow nasal oxygen as first-line treatment of acute hypoxemic respiratory failure and ARDS. Intensive Care Med. 2021; 47(8):851-866. PMC: 8261815. DOI: 10.1007/s00134-021-06459-2. View

19.

Kang B, Koh Y, Lim C, Huh J, Baek S, Han M . Failure of high-flow nasal cannula therapy may delay intubation and increase mortality. Intensive Care Med. 2015; 41(4):623-32. DOI: 10.1007/s00134-015-3693-5. View

20.

Sklar M, Burns K, Rittayamai N, Lanys A, Rauseo M, Chen L . Effort to Breathe with Various Spontaneous Breathing Trial Techniques. A Physiologic Meta-analysis. Am J Respir Crit Care Med. 2016; 195(11):1477-1485. DOI: 10.1164/rccm.201607-1338OC. View