High-flow nasal cannula: recommendations for daily practice in pediatrics
Open Access
- 30 September 2014
- journal article
- review article
- Published by Springer Science and Business Media LLC in Annals of Intensive Care
- Vol. 4 (1), 1-7
- https://doi.org/10.1186/s13613-014-0029-5
Abstract
High-flow nasal cannula (HFNC) is a relatively new device for respiratory support. In pediatrics, HFNC use continues to increase as the system is easily set up and is well tolerated by patients. 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. 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. Currently, most of the studies in the pediatric literature suggest the benefits of HFNC therapy only for moderately severe acute viral bronchiolitis. 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. 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.This publication has 51 references indexed in Scilit:
- High-Flow Nasal Prong Oxygen Therapy or Nasopharyngeal Continuous Positive Airway Pressure for Children With Moderate-to-Severe Respiratory Distress?*Pediatric Critical Care Medicine, 2013
- Noise Levels of Neonatal High-Flow Nasal Cannula Devices - An in-vitro StudyNeonatology, 2013
- Non-invasive ventilation in community-acquired pneumonia and severe acute respiratory failureIntensive Care Medicine, 2012
- In vitro comparison of heliox and oxygen in aerosol delivery using pediatric high flow nasal cannulaPediatric Pulmonology, 2011
- Children With Respiratory Distress Treated With High-Flow Nasal CannulaJournal of Intensive Care Medicine, 2009
- Effect of a High-Flow Open Nasal Cannula System on Obstructive Sleep Apnea in ChildrenPEDIATRICS, 2009
- High flow nasal cannula therapy as respiratory support in the preterm infantPediatric Pulmonology, 2009
- Aerosol Delivery through Nasal Cannulas: An In Vitro StudyJournal of Aerosol Medicine and Pulmonary Drug Delivery, 2008
- Domiciliary humidification improves lung mucociliary clearance in patients with bronchiectasisChronic Respiratory Disease, 2008
- Noninvasive positive pressure ventilation: Five years of experience in a pediatric intensive care unit*Pediatric Critical Care Medicine, 2006