High-flow nasal cannula: recommendations for daily practice in pediatricsReport as inadecuate

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Annals of Intensive Care

, 4:29

First Online: 30 September 2014Received: 16 May 2014Accepted: 20 August 2014


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.

KeywordsPICU High-flow nasal cannula Bronchiolitis Asthma Electronic supplementary materialThe online version of this article doi:10.1186-s13613-014-0029-5 contains supplementary material, which is available to authorized users.

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Author: Christophe Milési - Mathilde Boubal - Aurélien Jacquot - Julien Baleine - Sabine Durand - Marti Pons Odena - Gilles Camb

Source: https://link.springer.com/

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