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Review finds insufficient evidence to support the routine use of heated, humidified high‐flow nasal cannula use in neonates
Author(s) -
Shetty S,
Greenough A
Publication year - 2014
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.12695
Subject(s) - medicine , nasal cannula , continuous positive airway pressure , cannula , anesthesia , surgery , obstructive sleep apnea
A literature review was carried out following concerns about the use of heated, humidified, high‐flow nasal cannulae ( HHFNC ) in premature infants. Randomised trials following extubation showed that HHFNC was associated with similar or greater reintubation rates than nasal continuous positive airway pressure, but significantly better nasal trauma scores. Infections with Ralstonia bacteria were an issue. Conclusion There is insufficient evidence to support the routine use of HHFNC for premature infants and further research is required.