Modified high-flow nasal cannula for children with respiratory distress
| Autor: | Aroonwan Preutthipan, Jarin Vaewpanich, Nattachai Anantasit, Sarocha Itdhiamornkulchai |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Pediatric intensive care unit
medicine.medical_specialty Respiratory distress business.industry medicine.medical_treatment Vital signs medicine.disease_cause Pediatrics Respiratory failure Pediatrics Perinatology and Child Health Emergency medicine medicine Intubation Respiratory system Adverse effect business Nasal cannula |
| Zdroj: | Clinical and Experimental Pediatrics. 65:136-141 |
| ISSN: | 2713-4148 |
| DOI: | 10.3345/cep.2020.01403 |
| Popis: | Background: High-flow nasal cannula (HFNC) is a noninvasive respiratory support that provides the optimum flow of an air-oxygen mixture. Several studies demonstrated its usefulness and good safety profile for treating pediatric respiratory distress patients. However, the cost of the commercial HFNC is high; therefore, the modified high-flow nasal cannula was developed.Purpose: This study aimed to compare the effectiveness, safety, and nurses’ satisfaction of the modified system versus the standard commercial HFNC.Methods: This prospective comparative study was performed in a tertiary care hospital. We recruited children aged 1 month to 5 years who developed acute respiratory distress and were admitted to the pediatric intensive care unit. Patients were assigned to 2 groups (modified vs. commercial). The effectiveness and safety assessments included vital signs, respiratory scores, intubation rate, adverse events, and nurses’ satisfaction.Results: A total of 74 patients were treated with HFNC. Thirty- nine patients were assigned to the modified group, while the remaining 35 patients were in the commercial group. Intubation rate and adverse events did not differ significantly between the 2 groups. However, the commercial group had higher nurses’ satisfaction scores than the modified group.Conclusion: Our findings suggest that our low-cost modified HFNC could be a useful respiratory support option for younger children with acute respiratory distress, especially in hospital settings with financial constraints. |
| Databáze: | OpenAIRE |
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