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There is confusion for efficacy of non-invasive ventilation compared to high-flow oxygen therapy regarding occurrence of severe hypoxemia during the intubation procedure. The purpose of the study was to compare the difference between noninvasive ventilation and high flow oxygen therapy to prevent desaturation during laryngoscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Patients underwent high-flow nasal cannula oxygen therapy (HCO cohort,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009161) or non-invasive ventilation procedure (NIV cohort,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009154) for oxygenation and ventilation due to acute hypoxemic respiratory failure in the intensive care unit. Data before preoxygenation, preoxygenation, intubation, laryngoscopy, and complications of patients due to tracheal intubation were retrospectively collected and analyzed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There was no difference between both cohorts for the demographical and clinical conditions of the patients before preoxygenation (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05 for all parameters), numbers of patients with severe hypoxia during the intubation procedure (35 vs. 45,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.303), the time duration of laryngoscopy (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.847), number of laryngoscopies attempts (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.804), and immediate and late complications during the intubation procedure. The values of pulse oximetry were reported higher for patients of NIV cohort than those of HCO cohort during preoxygenation. Fewer numbers of patients were reported with severe hypoxia among patients of the NIV cohort than those of the HCO cohort (24 vs., 40,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.042) who have moderate-to-severe hypoxemia (partial pressure of arterial oxygen to fraction of inspired oxygen ratio\u2009\u2264\u2009200\u2009mmHg) before preoxygenation. The most common complications were hypertension, pulmonary aspiration, and increased 30-day mortality.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>When compared, there was no difference between non-invasive ventilation technique and high-flow oxygen therapy to minimize severe hypoxia prior to laryngoscopy and endotracheal intubation in patients with acute respiratory failure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12873-021-00402-w","type":"journal-article","created":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T08:02:53Z","timestamp":1610611373000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Comparison of hypoxemia, intubation procedure, and complications for non-invasive ventilation against high-flow nasal cannula oxygen therapy for patients with acute hypoxemic respiratory failure: a non-randomized retrospective analysis for effectiveness and safety (NIVaHIC-aHRF)"],"prefix":"10.1186","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3726-4985","authenticated-orcid":false,"given":"Chao","family":"Zhang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9179-072X","authenticated-orcid":false,"given":"Min","family":"Ou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,1,14]]},"reference":[{"key":"402_CR1","doi-asserted-by":"publisher","first-page":"886","DOI":"10.1097\/CCM.0000000000000049","volume":"42","author":"D Roux","year":"2014","unstructured":"Roux D, Reignier J, Thiery G, Boyer A, Hayon J, Souweine B, Papazian L, Mercat A, Bernardin G, Combes A, Chiche JD, Diehl JL, du Cheyron D, L'her E, Perrotin D, Schneider F, Thuong M, Wolff M, Zeni F, Dreyfuss D, Ricard JD. 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An informed consent form was signed by patients and relatives (legally authorized person) of the enrolled patients regarding anesthesia and intubation (if required) before admission to the hospital. The study reporting adheres to the law of China and the V2008 Declarations of Helsinki.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"None.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declared that they have no conflict of interest or any other competing interest regarding results and\/ or discussion reported in the research.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"6"}}