Establishing paediatric ward high‐flow nasal cannula usage for infants with bronchiolitis

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High-flow nasal cannula therapy for infants with bronchiolitis.

BACKGROUND Bronchiolitis is a common lower respiratory tract illness, usually of viral aetiology, affecting infants younger than 24 months of age and is a frequent cause of hospitalisation. It causes airway inflammation, mucus production and mucous plugging, resulting in airway obstruction. Effective pharmacotherapy is lacking and bronchiolitis is a major cause of morbidity and mortality.Conven...

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High-flow nasal cannula oxygen therapy for infants with bronchiolitis: pilot study.

AIM To obtain data on the safety and clinical impact of managing infants with bronchiolitis on the ward with high-flow nasal cannula (HFNC) treatment. METHODS A prospective pilot study was conducted of 61 infants aged <12 months with bronchiolitis and oxygen requirement presenting to the emergency department. HFNC was commenced at 2 L/kg/min, and fraction of inspired oxygen was titrated to ox...

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Chasing the Latest Rabbit: High Flow Nasal Cannula and Bronchiolitis.

The search for effective evidence-based management strategies for children hospitalized with acute viral bronchiolitis is filled with dark rabbit holes of potential benefit that, for the most part, have led right back to the beginning. Such has been the case for antiviral agents, bronchodilators, systemic and inhaled corticosteroids, and, most recently, nebulized hypertonic saline. A new tool i...

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Heliox delivered by high flow nasal cannula improves oxygenation in infants with respiratory syncytial virus acute bronchiolitis.

OBJECTIVE The objective of this study is to evaluate the hypothesis that use of heliox would result in improvement of gas exchange when used with high flow nasal cannula in infants with RSV acute bronchiolitis. METHODS All patients that met the inclusion criteria were randomized to either heliox (70:30) or air-oxygen mixture 30% via high flow nasal cannula at 8L/min for a continuous 24h. Meas...

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Nasal highflow improves ventilation in patients with COPD

BACKGROUND Nasal highflow (NHF) provides a warmed and humidified air stream up to 60 L/min. Recent data demonstrated a positive effect in patients with acute hypoxemic respiratory failure, especially when caused by pneumonia. Preliminary data show a decrease in hypercapnia in patients with COPD. Therefore, NHF should be evaluated as a new ventilatory support device. This study was conducted to ...

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ژورنال

عنوان ژورنال: Acta Paediatrica

سال: 2020

ISSN: 0803-5253,1651-2227

DOI: 10.1111/apa.15527