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

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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.

Conclusions

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.

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Author information

Authors and Affiliations

  1. Department of Neonatal and Pediatric Intensive Care Services, Surya Mother and Child superspecialty Hospital, Pune, Maharashtra, India

    Sachin Shah, Amita Kaul, Rupesh Bhosale & Ganesh Shiwarkar

Authors
  1. Sachin Shah
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  2. Amita Kaul
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  3. Rupesh Bhosale
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  4. Ganesh Shiwarkar
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Corresponding author

Correspondence to Amita Kaul.

Additional information

Contributors

SS: conceptualized the study, analysed the data and wrote the manuscript; AK: assisted with the concept made the study protocol and reviewed the manuscript; RB,GS: were involved in data collection and reviewed the literature.

Funding

None

Competing interests

None stated.

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Shah, S., Kaul, A., Bhosale, R. et al. High Flow Nasal Cannula Therapy as a Primary Mode of Respiratory Support in a Pediatric Intensive Care Unit. Indian Pediatr 58, 41–43 (2021). https://doi.org/10.1007/s13312-021-2095-8

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  • DOI: https://doi.org/10.1007/s13312-021-2095-8

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