Respiratory failure & ventilation

Weaning Strategies for High-Flow Nasal Cannula in Critically Ill Adults: A Randomized Clinical Trial

Crit Care MedPublished multicenter, randomized controlled trial

Authors' conclusion

In this randomized trial, no statistically significant differences were observed among the three HFNC weaning strategies in terms of weaning success or duration.

Study context

Population
Adults (≥ 18 yr old) in the ICU who met the weaning criteria after receiving high-flow nasal cannula (HFNC), from three tertiary care hospitalscompleted the trial, 102 patients screened, 15 excluded · flow reduction (FR) 31 · OR 26 · simultaneous reduction (SR) 30
Participants
87 adults
Comparison
Three HFNC weaning strategies: flow reduction first, Fio2 reduction first, or simultaneous reduction
  • FRn = 31
  • ORn = 26
  • SRn = 30
Primary endpoint
HFNC weaning success rate (successful transition to conventional oxygen therapy without the need for HFNC reapplication, noninvasive ventilation, or endotracheal intubation within 24 hours)
Follow-up
24 hours

Primary result

As reported in the abstract

P = 0.15

Further findings

Weaning duration

P = 0.87

Sex (male) by group · baseline characteristic

  • Weaning duration: among the three groups; no statistically significant difference

Original publication

Weaning Strategies for High-Flow Nasal Cannula in Critically Ill Adults: A Randomized Clinical Trial. Crit Care Med. Published 15 October 2026. doi:10.1097/ccm.0000000000007379

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