A case series of paediatric high flow nasal cannula therapy

Mayfield, Sara Anne, Jauncey-Cooke, Jacqueline and Bogossian, Fiona E. (2013) A case series of paediatric high flow nasal cannula therapy. Australian Critical Care, 26 4: 189-192. doi:10.1016/j.aucc.2013.05.004


Author Mayfield, Sara Anne
Jauncey-Cooke, Jacqueline
Bogossian, Fiona E.
Title A case series of paediatric high flow nasal cannula therapy
Journal name Australian Critical Care   Check publisher's open access policy
ISSN 1036-7314
1878-1721
Publication date 2013-11-04
Year available 2013
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.aucc.2013.05.004
Volume 26
Issue 4
Start page 189
End page 192
Total pages 4
Place of publication Philadelphia, PA United States
Publisher Elsevier Inc.
Collection year 2014
Language eng
Formatted abstract
Introduction
High flow nasal cannula is an emerging treatment option in Paediatric Intensive Care Units for paediatric patients in acute respiratory distress. Yet there is a paucity of literature describing its clinical application in various presenting pathophysiologies.

Aim
To describe three cases with differing underlying pathophysiologies and their response to high flow nasal cannula oxygen therapy.

Method
Patients admitted to the Paediatric Intensive Care Unit with bronchiolitis, asthma and cardiomyopathy, and treated with high flow nasal cannula therapy were searched in the Paediatric Intensive Care database. The most representative cases were chosen to review.

Results
One infant and two children were reviewed. All were commenced on high flow nasal cannula therapy in the Paediatric Intensive Care Unit and all demonstrated an improvement in their work of breathing. There was also a substantial improvement in their haemodynamic status. No patient required escalation to other forms of respiratory therapy.

Conclusion
High flow nasal cannula therapy is a viable treatment option for a range of patients presenting to the Paediatric Intensive Care Unit with acute respiratory distress. More invasive methods of respiratory support may be avoided by the use of high flow nasal cannula therapy.
Keyword High flow nasal cannula
Bronchiolitis
Asthma
Cardiomyopathy
Infants
Children
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2014 Collection
School of Nursing, Midwifery and Social Work Publications
 
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Created: Mon, 02 Dec 2013, 14:26:53 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work