Índices de oxigenación como predictores en insuficiencia respiratoria tratados con cánula nasal de alto flujo versus ventilación mecánica no invasiva. Revisión sistemática

Valero-Ortíz, Adriana Sofía Y Corredor-Gamba, Sandra Patricia Y Clara Lizeth, Palencia-Mojica Y Polanía-Robayo, Alba Yanira Y Quemba-Mesa, Mónica Paola Y Moreno-Perilla, Deisy Nathalia (2026) Índices de oxigenación como predictores en insuficiencia respiratoria tratados con cánula nasal de alto flujo versus ventilación mecánica no invasiva. Revisión sistemática. Universidad y Salud, 28 (2). e9591. ISSN 2389-7066

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Resumen

Introduction: Oxygenation indices are used to assess oxygenation and guide therapeutic management with high-flow nasal cannula therapy and/or noninvasive mechanical ventilation in adult intensive care units. Objective: To evaluate oxygenation indices as predictors of mortality, oxygenation, intubation, extubation, and ventilatory support in adult intensive care patients with respiratory failure receiving high-flow nasal cannula therapy versus noninvasive mechanical ventilation. Materials and Methods: A systematic literature review was conducted; 289 studies were selected, and 20 studies were reviewed using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies and the Quality Assessment of Case-Control Studies by four blinded reviewers. Results: Oxygenation indices confirmed the diagnosis of respiratory failure, with improvements in arterial pressure and oxygen saturation. The Kirby index improved significantly with high-flow nasal cannula, a form of support that is better tolerated and has a lower reintubation rate. The use of noninvasive mechanical ventilation was associated with a higher risk of mortality. Conclusions: Oxygenation indices are critical predictors in acute respiratory failure, and their systematic monitoring optimizes therapeutic decision-making and improves the prognosis for survival.

Tipo de Elemento:	Artículo
Palabras Clave:	Cuidado intensivo; Ventilación no invasiva; Insuficiencia respiratoria; Revisión sistemática; Metaanálisis; Cánula nasal de alto flujo; Critical care; Noninvasive entilation; Respiratory insufficiency; Systematic review; Meta-analysis; Cannula; Cuidados críticos; Ventilação não invasiva; Insuficiência respiratória; Revisão sistemática; Metanálise; Cánula
Asunto:	R Medicina > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicina > RF Otorhinolaryngology R Medicina > RZ Other systems of medicine
Division:	Revistas > Revista Universidad y Salud
Depósito de Usuario:	Rev. Universidad y Salud UDENAR
Fecha Deposito:	15 Sep 2026 16:21
Ultima Modificación:	15 Sep 2026 16:21
URI:	http://sired.udenar.edu.co/id/eprint/19550

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