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High flow nasal cannula pediatrics6/24/2023 ![]() ![]() Mayfield S, Bogossian F, O’Malley L, Schibler A. ![]() High-flow nasal prong oxygen therapy or nasopharyngeal continuous positive airway pressure for children with moderate-to-severe respiratory distress? Pediatr Crit Care Med. Is treatment with a high flow nasal cannula effective in acute viral bronchiolitis? A physiologic study. Milési C, Baleine J, Matecki S, Durand S, Combes C, Novais AR, Cambonie G. High-flow nasal cannula therapy for respiratory support in children. Mayfield S, Jauncey-Cooke J, Hough JL, Schibler A, Gibbons K, Bogossian F. Use of high flow nasal cannula in critically ill infants, children, and adults: a critical review of the literature. Lee JH, Rehder KJ, Williford L, Cheifetz IM, Turner DA. As for any form of respiratory support, HFNC initiation in patients requires close monitoring, whether it be for pre- or inter-hospital transport or in the emergency department or the pediatric intensive care unit.Īsthma Bronchiolitis High-flow nasal cannula PICU. But, the experience with this device in neonatology and adult intensive care may broaden the pediatric indications to include weaning from invasive ventilation and acute asthma. Currently, most of the studies in the pediatric literature suggest the benefits of HFNC therapy only for moderately severe acute viral bronchiolitis. HFNC may also create positive pharyngeal pressure to reduce the work of breathing, which positions the device midway between classical oxygen delivery systems, like the high-concentration face mask and continuous positive airway pressure (CPAP) generators. The use of nasal cannula adapted to the infant's nares size to deliver heated and humidified gas at high flow rates has been associated with improvements in washout of nasopharyngeal dead space, lung mucociliary clearance, and oxygen delivery compared with other oxygen delivery systems. In pediatrics, HFNC use continues to increase as the system is easily set up and is well tolerated by patients. High-flow nasal cannula (HFNC) is a relatively new device for respiratory support. ![]()
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