الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 122 |  |  |
| | | from | 122 | | |
Abstract
This is a prospective randomized clinical trial. One hundred consecutive patients admitted to the Respiratory Intensive Care Unit with an episode of ARF were included in the study. Patients were randomized to HFNC or NIV groups. All patients submitted to history tsking, clinical examination including vital signs and investigations including ABG analysis, complete lab investigations. APACHE II, SOFA score, VAS and Modified Borg scale were calculated.The two most common causes of admission to respiratory ICU in patients with acute hypoxemic respiratory failure requiring ventilatory support were pneumonia\ bronchopneumonia (41%) and Interstitial lung diseases (40%We found that rate of endotracheal intubation was significantly lower in HFNC group and the most common reason for treatment failure was increase respiratory distress in both HFNC and NIV groups. Also, duration of hospital stay and duration of ICU stay were significantly lower in HFNC group.With respect to patient comfort and satisfaction, in this study HFNC received the best subjective ratings regarding dyspnea, comfort and general evaluation and was preferred by patients. Modified Borg scale and VAS were significantly better in HFNC group in comparison.