Document Detail


Use of Heated Humidified High Flow Nasal Cannula Oxygen in neonates: a U.K wide survey.
MedLine Citation:
PMID:  23167445     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
AIM: Heated humidified high-flow nasal cannula oxygen (HHHFNC) is a relatively new form of respiratory support and is increasing in popularity despite lack of supportive evidence and amid safety concerns. We investigated the prevalence of its use in tertiary neonatal units in the UK. METHOD: Electronic survey. RESULTS: 57 units were contacted and replies received from 44 (77%). HHHFNC was used in 34/44 (77%) units. Vapotherm2000i and Fisher & PaykelRT329 were the most popular devices. 39% units used HHHFNC without policies. Most reported use in infants of any gestation (24/34, 71%) and weight 26/34, 77%) and for variety of indications including as an alternative to CPAP (26/34, 77%), weaning off CPAP (24/34, 71%) and post-extubation (18/34, 53%). The flow rates, cannula size and mouth position varied widely. The popularity of HHHFNC appeared to be its perceived ease of use and improved access to the baby. CONCLUSION: This survey demonstrates that HHHFNC is a widely used modality in UK neonatal units. Its current use appears to be without clear criteria and mostly based on individual preference. In view of doubts about its efficacy and concerns regarding safety, this study highlights the urgent need for research to evaluate its use in newborns. ©2012 The Author(s)/Acta Paediatrica ©2012 Foundation Acta Paediatrica.
Authors:
Shalini Ojha; Eleanor Gridley; Jon Dorling
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-20
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  -     ISSN:  1651-2227     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
©2012 The Author(s)/Acta Paediatrica ©2012 Foundation Acta Paediatrica.
Affiliation:
Academic Child Health, University of Nottingham, Nottingham, U.K.
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