High Flow Nasal Cannula Therapy as a Primary Mode of Respiratory Support in a Pediatric Intensive Care Unit.

Abstract:

OBJECTIVE:To assess efficacy and safety of High flow nasal cannula therapy (HFNC) as primary mode of treatment for children with respiratory distress. METHODS:Consecutive patients (1 mo-16 years) with respiratory distress were assessed for respiratory clinical score, COMFORT score and saturation to FiO2 (SF) ratio. RESULTS:A total of 188 (91.7%) patients out of 205 responded to HFNC alone. The respiratory clinical score and COMFORT score were lower with higher SF ratio in these than 17 patients who required ventilation (P<0.001). Median (IQR) time to failure was 2 (1.75-24) hours. Air leak was seen in 2 (1%) patients. CONCLUSION:HFNC is an effective and safe primary mode of respiratory support in children with respiratory distress. Children who succeed on HFNC show a favorable clinical response within first few hours.

journal_name

Indian Pediatr

journal_title

Indian pediatrics

authors

Shah S,Kaul A,Bhosale R,Shiwarkar G

subject

Has Abstract

pub_date

2021-01-15 00:00:00

pages

41-43

issue

1

eissn

0019-6061

issn

0974-7559

pii

S097475591600247

journal_volume

58

pub_type

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