Evidence map›Paper›PMID 40978307›Full record

ArticleHealth science reports2025

Current Practice and Barriers to Using High-Flow Nasal Cannula Among ARDS Patients in Saudi Arabia: A Cross-Sectional Study of Physicians.

Mohammed M Alyami, Abdulelah M Aldhahir, Abdullah A Alqarni, Amal A Alqahtani, Sara M Homadi, Mohammed A Almeshari, Nowaf Y Alobaidi, Jaber S Alqahtani, Rayan A Siraj, Saeed M Alghamdi and 6 more

Abstract read
In one paragraph

Article in Health science reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

16 authors.

Mohammed M AlyamiRespiratory Therapy Department Batterjee Medical College Khamis Mushait Saudi Arabia.
Abdulelah M AldhahirRespiratory Therapy Program, Department of Nursing, College of Nursing and Health Sciences Jazan University Jazan Saudi Arabia.ORCID https://orcid.org/0000-0002-4270-9494
Abdullah A AlqarniDepartment of Respiratory Therapy, Faculty of Medical Rehabilitation Sciences King Abdulaziz University Jeddah Saudi Arabia.
Amal A AlqahtaniRespiratory Therapy Department Batterjee Medical College Khamis Mushait Saudi Arabia.
Sara M HomadiRespiratory Therapy Department Batterjee Medical College Khamis Mushait Saudi Arabia.
Mohammed A AlmeshariRehabilitation Health Sciences Department, College of Applied Medical Sciences King Saud University Riyadh Saudi Arabia.
Nowaf Y AlobaidiRespiratory Therapy Department King Saud Bin Abdulaziz University for Health Sciences Alahsa Saudi Arabia.
Jaber S AlqahtaniDepartment of Respiratory Care Prince Sultan Military College of Health Sciences Dammam Saudi Arabia.
Rayan A SirajDepartment of Respiratory Care, College of Applied Medical Sciences King Faisal University Al-Ahsa Saudi Arabia.
Saeed M AlghamdiClinical Technology Department, Respiratory Care Program, Faculty of Applied Medical Sciences Umm Al-Qura University Makkah Saudi Arabia.
Ahmed H AlasimiDepartment of Respiratory Therapy Georgia State University Atlanta Georgia USA.ORCID https://orcid.org/0009-0000-5322-2326
Shorooq T AlenaziRespiratory Therapy Department Security Forces Hospital Riyadh Saudi Arabia.
Bashaer O BanakherDepartment of Respiratory Therapy Maternity and Children's Specialized Hospital Jeddah Saudi Arabia.
Abdallah Y NaserDepartment of Applied Pharmaceutical Sciences and Clinical Pharmacy, Faculty of Pharmacy Isra University Amman Jordan.
Mansour S MajrshiNational Heart and Lung Institute Imperial College London London UK.
Hassan AlwafiDepartment of Pharmacology and Toxicology, College of Medicine Umm Al-Qura University Makkah Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: High-flow nasal cannula (HFNC) is increasingly utilized in clinical practice; however, the perspectives of physicians on its use and associated barriers in managing acute respiratory distress syndrome (ARDS) in Saudi Arabia remain unexplored. This study aims to evaluate HFNC practices and identify the barriers faced by ICU and respiratory physicians in utilizing HFNC for ARDS patients. Methods: A cross-sectional survey was distributed between December 22, 2022, and July 15, 2023, to respiratory and ICU physicians in Saudi Arabia. Data are presented as frequencies and percentages. Results: A total of 987 responses were analyzed, revealing that physicians perceive HFNC as beneficial for relieving shortness of breath (686, or 69.5%), helping with speech and eating (649, or 65.8%), and potentially preventing intubation (629, or 63.7%). In terms of HFNC practice, 445 respondents (45.1%) reported that its use is governed by institutional protocols, while 679 (68.8%) indicated that the decision to initiate therapy is made by physicians. Additionally, 458 (46.4%) stated that a flow rate of ≥ 15 L/min is necessary to start HFNC therapy. When considering initial settings, nearly half (455, or 46.09%) chose a fraction of inspired oxygen (FiO Conclusion: Physicians demonstrated a comprehensive understanding of the potential benefits associated with HFNC therapy. However, variations in initial settings and the absence of standardized guidelines present significant challenges to its optimal application in patients with ARDS.

Indexed as

acute respiratory distress syndromeARDSHFNCphysiciansSaudi Arabia

Identifiers

PMID40978307
PMCPMC12444945

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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.