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https://www.readbyqxmd.com/read/26883075/high-flow-nasal-cannula-oxygen-and-nasal-continuous-positive-airway-pressure-and-full-oral-feeding-in-infants-with-bronchopulmonary-dysplasia
#1
Sandeep Shetty, Katie Hunt, Amy Douthwaite, Maria Athanasiou, Ann Hickey, Anne Greenough
OBJECTIVE: To determine whether the time to achieve full oral feeding differed between infants with bronchopulmonary dysplasia (BPD) supported by nasal continuous positive airway pressure (nCPAP) compared with those supported by nCPAP and subsequently transferred to heated, humidified, high-flow nasal cannula oxygen (HHFNC). DESIGN: Two-cohort comparison. SETTING: Tertiary neonatal unit. PATIENTS: -72 infants, median gestational age 27 (range 24-32) weeks in the nCPAP group, and 44 infants, median gestational age 27 (range 24-31) weeks in the nCPAP/HHFNC group...
September 2016: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://www.readbyqxmd.com/read/26698269/invasive-and-non-invasive-ventilation-for-prematurely-born-infants-current-practice-in-neonatal-ventilation
#2
Anne Greenough, Ingran Lingam
Non-invasive techniques, include nasal continuous positive airways pressure (nCPAP), nasal intermittent positive pressure ventilation (NIPPV) and heated, humidified, high flow cannula (HHFNC). Randomised controlled trials (RCTs) of nCPAP versus ventilation have given mixed results, but one demonstrated fewer respiratory problems during infancy. Meta-analysis demonstrated NIPPV rather than nCPAP provided better support post extubation. After extubation or initial support HHFNC has similar efficacy to CPAP. Invasive techniques include those that synchronise inflations with the patient's respiratory efforts...
February 2016: Expert Review of Respiratory Medicine
https://www.readbyqxmd.com/read/26041053/strategies-for-the-discontinuation-of-humidified-high-flow-nasal-cannula-hhfnc-in-preterm-infants
#3
REVIEW
Raymond C Farley, Judith L Hough, Luke A Jardine
BACKGROUND: Humidified high flow nasal cannula (HHFNC) delivers humidified gas at increased flow rates via binasal prongs and is becoming widely accepted as a method of non-invasive respiratory support for preterm infants. While indications for the use of (HHFNC) and its associated risks and benefits are being investigated, the best strategy for the discontinuation of HHFNC remains unknown. At what point an infant is considered stable enough to attempt to start withdrawing their HHFNC is not known...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/24844683/review-finds-insufficient-evidence-to-support-the-routine-use-of-heated-humidified-high-flow-nasal-cannula-use-in-neonates
#4
REVIEW
S Shetty, A Greenough
UNLABELLED: A literature review was carried out following concerns about the use of heated, humidified, high-flow nasal cannulae (HHFNC) in premature infants. Randomised trials following extubation showed that HHFNC was associated with similar or greater reintubation rates than nasal continuous positive airway pressure, but significantly better nasal trauma scores. Infections with Ralstonia bacteria were an issue. CONCLUSION: There is insufficient evidence to support the routine use of HHFNC for premature infants and further research is required...
September 2014: Acta Paediatrica
https://www.readbyqxmd.com/read/23942744/heated-humidified-high-flow-nasal-cannula-versus-low-flow-nasal-cannula-as-weaning-mode-from-nasal-cpap-in-infants-%C3%A2-28-weeks-of-gestation
#5
Jose Ramon Fernandez-Alvarez, Rashmi Shreyans Gandhi, Philip Amess, Liam Mahoney, Ryan Watkins, Heike Rabe
UNLABELLED: Despite the paucity of evidence, the practice of weaning nasal continuous positive airway pressure (NCPAP) is widespread. However, the most clinically effective non-invasive ventilatory support strategy remains to be determined. We compared the outcome of very premature infants with respiratory distress syndrome treated with a combination of NCPAP and heated humidified high-flow nasal cannula (HHFNC) versus NCPAP and low-flow nasal cannula (LFNC). Between 2004 and 2008, patients ≤28 weeks of gestation and <1,250 g of birth weight were treated with NCPAP + HHFNC or NCPAP + LFNC...
January 2014: European Journal of Pediatrics
https://www.readbyqxmd.com/read/23382446/serious-air-leak-syndrome-complicating-high-flow-nasal-cannula-therapy-a-report-of-3-cases
#6
Satyanarayan Hegde, Parthak Prodhan
Despite the absence of clinical safety data, heated, humidified high-flow nasal cannula (HHFNC) therapy is increasingly being used as an alternative to positive-pressure ventilation in pediatrics. This use of HHFNC is "off label" because the US Food and Drug Administration's approval for these devices was only for air humidification and not as a modality to provide positive distending pressure. For the first time we describe 3 cases who developed serious air leaks related to HHFNC therapy. The first child was a previously healthy 2-month-old male infant with respiratory syncytial virus bronchiolitis who developed a right pneumothorax on day 5 of his illness at 8 liters per minute (lpm)...
March 2013: Pediatrics
https://www.readbyqxmd.com/read/21470336/humidified-high-flow-nasal-cannulae-current-practice-in-australasian-nurseries-a-survey
#7
Judith L Hough, Andrew D Shearman, Luke A Jardine, Mark W Davies
AIM: Humidified High Flow Nasal Cannula (HHFNC) has been increasingly adopted as a new means of respiratory support throughout the world. However, evidence to support its safety and efficacy is limited. The aim of the present survey was to determine current practices regarding the usage of HHFNC by neonatologists in Australia and New Zealand. METHODS: Surveys were sent to all 167 neonatologists identified by the list of centres in the Australia and New Zealand Neonatal Network...
February 2012: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/18418207/humidified-high-flow-nasal-cannula-is-it-the-new-and-improved-cpap
#8
REVIEW
Alan de Klerk
Humidified high-flow nasal cannula (HHFNC) therapy for neonates has become increasingly popular in recent years. It is frequently used in circumstances when continuous positive airway pressure (CPAP) might otherwise have been used. Limited evidence is available to support the specific role, efficacy, and safety of HHFNC in newborns. This evidence suggests that HHFNC provides inconsistent and relatively unpredictable positive airway pressure, but may be effective in the treatment of some neonatal respiratory conditions while being more user-friendly for caregivers than conventional CPAP...
April 2008: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/17262040/high-flow-nasal-cannula-versus-nasal-cpap-for-neonatal-respiratory-disease-a-retrospective-study
#9
MULTICENTER STUDY
M T Shoemaker, M R Pierce, B A Yoder, R J DiGeronimo
OBJECTIVE: Our objective is to assess the frequency of usage, safety and clinical utility of humidified high flow nasal cannula (HHFNC) in two tertiary care hospitals and compare outcomes to a historical control group of premature infants who received nasal continuous positive airway pressure (NCPAP). STUDY DESIGN: The first part of the study describes the increased HHFNC usage in two tertiary neonatal intensive care units. The second part compares outcomes of infants, born at less than 30 weeks gestation, who received either NCPAP or HHFNC as an early respiratory support mode...
February 2007: Journal of Perinatology: Official Journal of the California Perinatal Association
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