Evidence map›Paper›PMID 36855198›Full record

SynthesisCritical care (London, England)2023

The effects of flow settings during high-flow nasal cannula support for adult subjects: a systematic review.

Jie Li, Fai A Albuainain, Wei Tan, J Brady Scott, Oriol Roca, Tommaso Mauri

Registry-linked trialOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Critical care (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06228703 (The Effects of Different Flow Settings on Lung Impedance Using Two New HFNC Devices), which is not on this map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
15.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06228703 nacompletednot on this mapstarted 2024, after this paper: background citation

The Effects of Different Flow Settings on Lung Impedance Using Two New HFNC Devices: A Randomized Crossover Study on Healthy Volunteers

TypeinterventionalSponsorRush University Medical CenterRan2024 to 2024Enrolled26ConditionsHealthyArmsHigh-flow nasal cannula device with flow setting at 40 L/min or higher
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 59 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Review
  5. Influence of leaks and mask design on COBMJ open respiratory research · 2026
    Observational
  6. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 5 countries.

Jie Li *Division of Respiratory Care, Department of Cardiopulmonary Sciences, Rush University, 600 S Paulina St, Suite 765, Chicago, IL, 60612, USA. Jie_Li@rush.edu.
Fai A Albuainain *Division of Respiratory Care, Department of Cardiopulmonary Sciences, Rush University, 600 S Paulina St, Suite 765, Chicago, IL, 60612, USA.
Wei TanDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of China Medical University, Shenyang, China.
J Brady ScottDivision of Respiratory Care, Department of Cardiopulmonary Sciences, Rush University, 600 S Paulina St, Suite 765, Chicago, IL, 60612, USA.
Oriol RocaServei de Medicina Intensiva, Parc Taulí Hospital Universitari, Sabadell, Spain.
Tommaso MauriDepartment of Anesthesia, Critical Care and Emergency, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Rush University · USChina Medical University · CNFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITRush University Medical Center · USUniversitat Autònoma de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring high-flow nasal cannula (HFNC) therapy, flow plays a crucial role in the physiological effects. However, there is no consensus on the initial flow settings and subsequent titration. Thus, we aimed to systematically synthesize the effects of flows during HFNC treatment.

methodsIn this systematic review, two investigators independently searched PubMed, Embase, Web of Science, Scopus, and Cochrane for in vitro and in vivo studies investigating the effects of flows in HFNC treatment published in English before July 10, 2022. We excluded studies that investigated the pediatric population (< 18 years) or used only one flow. Two investigators independently extracted the data and assessed the risk of bias. The study protocol was prospectively registered with PROSPERO, CRD42022345419.

resultsIn total, 32,543 studies were identified, and 44 were included. In vitro studies evaluated the effects of flow settings on the fraction of inspired oxygen (F

interpretationIndividualizing flow settings during HFNC treatment is necessary, and titrating flow based on clinical findings like oxygenation, respiratory rates, ROX index, and patient comfort is a pragmatic way forward.

Indexed as

CannulaCarbon DioxideAdministration, IntranasalAdultChildConsensusHumansOxygenCarbon DioxideOxygenFlow settingsHigh-flow nasal cannulaOxygenationOxygen therapyPatient self-inflicted lung injuryPeak inspiratory flowVentilation distribution

Identifiers

PMID36855198
PMCPMC9974062
OpenAlexW4322619076

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.