Recommendation ID
NG191/5
Question

Is high-flow nasal oxygen effective in reducing breathlessness compared with standard care or conventional oxygen therapy for people in hospital with COVID-19 and respiratory failure when it is agreed that treatment will not be escalated beyond non-invasive respiratory support or palliative care is needed?

Any explanatory notes
(if applicable)

Suggested PICO (Population, Intervention, Comparator, Outcome)


P: adults over 18 years with COVID-19 having treatment for respiratory failure
I: high-flow nasal oxygen
C:
• standard care
• conventional oxygen therapy
O:
• patient experience
• symptom improvement
• frequency of coughing
• assessment of breathing pattern disorder
• impact of breathlessness on activities of daily living such as eating, drinking and movement
• recovery of sense of smell
• practicalities of maintaining high-flow nasal oxygen at home for patients who wish their end of life care to occur at home.


Source guidance details

Comes from guidance
COVID-19 rapid guideline: managing COVID-19
Number
NG191
Date issued
March 2021

Other details

Is this a recommendation for the use of a technology only in the context of research? No  
Is it a recommendation that suggests collection of data or the establishment of a register?   No  
Last Reviewed 30/09/2021