Respiratory failure & ventilation

Safety of Enteral Feeding in Patients on High-Flow Nasal Cannula

Crit Care MedPublished Retrospective cohort study

Authors' conclusion

In this single-center, retrospective cohort, enteral nutrition in patients on HFNC was associated with lower risk of progression of respiratory failure and was not associated with increased risk of poor clinical outcomes.

Study context

Population
Hospitalised adults treated with high-flow nasal cannula (HFNC) at a tertiary academic hospital, 2020–2022; excluding chronic TPN, chronic tracheostomy, total laryngectomy, DNI statusprimary analysis
Participants
220 adults
Exposure
Enteral feeding vs NPO in adults on HFNC
Outcome
Progression of respiratory failure from HFNC to noninvasive positive pressure ventilation, mechanical ventilation or ECMO
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Progression of respiratory failure
Enteral feeding vs NPOOdds ratio (95% CI)P value
Multivariate mixed effects linear regression model
0.33(0.18–0.58)
P < 0.001
Propensity score-matched analysis
0.30(0.15–0.58)
P < 0.001

Observational data: associations, not effects.

Original publication

Safety of Enteral Feeding in Patients on High-Flow Nasal Cannula. Crit Care Med. Published 18 February 2026. doi:10.1097/ccm.0000000000007074

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