{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T13:55:08Z","timestamp":1772114108589,"version":"3.50.1"},"reference-count":31,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T00:00:00Z","timestamp":1686182400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002383","name":"King Saud University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002383","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>(1) Background: High-flow nasal therapy (HFNT) has shown several benefits in addressing respiratory failure. However, the quality of evidence and the guidance for safe practice are lacking. This survey aimed to understand HFNT practice and the needs of the clinical community to support safe practice. (2) Method: A survey questionnaire was developed and distributed to relevant healthcare professionals through national networks in the UK, USA and Canada; responses were collected between October 2020 and April 2021. (3) Results: In the UK and Canada, HFNT was used in 95% of hospitals, with the highest use being in the emergency department. HNFT was widely used outside of a critical care setting. HFNT was mostly used to treat acute type 1 respiratory failure (98%), followed by acute type 2 respiratory failure and chronic respiratory failure. Guideline development was felt to be important (96%) and urgent (81%). Auditing of practice was lacking in 71% of hospitals. In the USA, HFNT was broadly similar to UK and Canadian practice. (4) Conclusions: The survey results reveal several key points: (a) HFNT is used in clinical conditions with limited evidence; (b) there is a lack of auditing; (c) it is used in wards that may not have the appropriate skill mix; and (d) there is a lack of guidance for HFNT use.<\/jats:p>","DOI":"10.3390\/jcm12123911","type":"journal-article","created":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T02:02:28Z","timestamp":1686189748000},"page":"3911","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["International Survey of High-Flow Nasal Therapy Use for Respiratory Failure in Adult Patients"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9234-223X","authenticated-orcid":false,"given":"Asem","family":"Alnajada","sequence":"first","affiliation":[{"name":"Wellcome Wolfson Institute for Experimental Medicine, Queen\u2019s University Belfast, Belfast BT7 1NN, UK"},{"name":"Prince Sultan bin Abdulaziz College for Emergency Medical Services, King Saud University, Riyadh 11362, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4583-5381","authenticated-orcid":false,"given":"Bronagh","family":"Blackwood","sequence":"additional","affiliation":[{"name":"Wellcome Wolfson Institute for Experimental Medicine, Queen\u2019s University Belfast, Belfast BT7 1NN, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ben","family":"Messer","sequence":"additional","affiliation":[{"name":"The North East Assisted Ventilation Service, Royal Victoria Infirmary, Newcastle NE14LP, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan","family":"Pavlov","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, H\u00f4pital de Verdun, Montr\u00e9al, QC H4G 2A3, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murali","family":"Shyamsundar","sequence":"additional","affiliation":[{"name":"Wellcome Wolfson Institute for Experimental Medicine, Queen\u2019s University Belfast, Belfast BT7 1NN, UK"},{"name":"Regional Intensive Care, Royal Victoria Hospital, Belfast BT12 6BA, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,6,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1093\/bjaed\/mkw041","article-title":"High-flow nasal oxygen therapy","volume":"17","author":"Kumar","year":"2017","journal-title":"BJA Educ."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.1177\/0310057X1103900620","article-title":"Evaluation of a humidified nasal high-flow oxygen system, using oxygraphy, capnography and measurement of upper airway pressures","volume":"39","author":"Ritchie","year":"2011","journal-title":"Anaesth. 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