Respiratory failure & ventilation

Intra-hospital transport of adult critically ill patients treated with high flow nasal cannula oxygen: a prospective observational multicenter study

Ann Intensive CarePublished Prospective observational cohort study

Authors' conclusion

HFNC during intra-hospital transport of critically ill patients had a low incidence of severe adverse events.

Study context

Population
Critically ill adults treated with HFNC before transport who required intra-hospital transport accompanied by an ICU team, May 2022–May 2024187 transports analysed
Participants
165 adults
Outcome
Incidence of severe adverse events (severe hypoxemia [SpO2 <80%], need for intubation, need for NIV or cardiorespiratory arrest) during transport
Methodological detailsdescriptive, multicentre
  • Descriptive
  • Multicentre

Main finding

As reported in the abstract

Severe adverse events during transport

Severe adverse events (in 7 patients)

8

4.3%

Severe transient hypoxemia

6

NIV

2

Observational data: associations, not effects.

Secondary outcomes

Non-severe adverse events
43 (23%)
Increased FiO2 requirement
29 (15.6%)
Nasal cannula removal
7/187 (3.74%)
HFNC device dysfunction
6/187 (3.2%)
HFNC replaced with standard oxygen therapy
1 (0.5%)

Original publication

Intra-hospital transport of adult critically ill patients treated with high flow nasal cannula oxygen: a prospective observational multicenter study. Ann Intensive Care. Published 8 July 2025. doi:10.1186/s13613-025-01502-7

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