USA and Canada | Ireland | France and Spain |
HFNC will be initiated at 50 L/min (AIRVO2 or Optiflow, Fisher & Paykel Healthcare Limited, Auckland, New Zealand) with temperature set at 37°C. Nasal cannula size will be determined by the patient’s nostril size (≤50%). FiO2 will be adjusted to maintain SpO2 at 92%–95%. Flow and temperature will be adjusted based on patient’s comfort and clinical response. | Control patients will receive full standard care. | HFNC adapted for an SpO2 of 90%–95%. Except in case of poor tolerance by the patient a minimum gas flow rate of 50 L/min will be set initially. Weaning of the HFNC will first be performed reducing FiO2 down to 0.4 before reducing the gas flow rate. In clinically stable patients with a FiO2 less than or equal to 0.4 and a gas flow rate less than or equal to 30 L/min, an attempt will be made to switch to standard oxygen therapy at 4–6 L/min. |
FiO2, fraction of inspired oxygen; HFNC, high flow nasal cannula.