High Flow Nasal Cannula (HFNC) in bronchiolitis (1 mo - 2 years) - Curbside

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Evidence
Total Notes: 1
Evidence

1 HFNC

HFNC is a well-tolerated, noninvasive method of delivering high flow with or without supplemental oxygen. Although it is delivered through nasal canula, it cannot be delivered directly from wall oxygen as the flow needs to be humidified (therefore requiring special machinery). In addition to flow, once the rate is ≥6 L/min HFNC may generate positive expiratory pressures from 2-5 cm H2O.

HFNC has been associated with the decreased need for emergent intubation.



References:
  1. Use of high-flow nasal cannula support in the emergency department reduces the need for intubation in pediatric acute respiratory insufficiency.
    Wing R, James C, Maranda LS, Armsby CC,
    Pediatr Emerg Care 2012 Nov;28(11):1117-23.
  2. High flow nasal cannulae therapy in infants with bronchiolitis.
    McKiernan C, Chua LC, Visintainer PF, Allen H,
    J. Pediatr. 2010 Apr;156(4):634-8.
  3. Reduced intubation rates for infants after introduction of high-flow nasal prong oxygen delivery.
    Schibler A, Pham TM, Dunster KR, Foster K, Barlow A, Gibbons K, Hough JL,
    Intensive Care Med 2011 May;37(5):847-52.
  4. Use of high flow nasal cannula oxygen (HFNCO) in infants with bronchiolitis on a paediatric ward: a 3-year experience.
    Kallappa C, Hufton M, Millen G, Ninan TK,
    Arch. Dis. Child. 2014 Aug;99(8):790-1.
  5. Comparison of a high-flow humidified nasal cannula to nasal continuous positive airway pressure in children with acute bronchiolitis: experience in a pediatric intensive care unit.
    Metge P, Grimaldi C, Hassid S, Thomachot L, Loundou A, Martin C, Michel F,
    Eur. J. Pediatr. 2014 Jul;173(7):953-8.
  6. High-flow nasal cannula oxygen therapy for infants with bronchiolitis: pilot study.
    Mayfield S, Bogossian F, O'Malley L, Schibler A,
    J Paediatr Child Health 2014 May;50(5):373-8.
  7. High-flow warm humidified oxygen versus standard low-flow nasal cannula oxygen for moderate bronchiolitis (HFWHO RCT): an open, phase 4, randomised controlled trial.
    Kepreotes E, Whitehead B, Attia J, Oldmeadow C, Collison A, Searles A, Goddard B, Hilton J, Lee M, Mattes J,
    Lancet 2017 Mar;389(10072):930-939.
  8. Humidified high-flow nasal cannula: is it the new and improved CPAP?
    de Klerk A,
    Adv Neonatal Care 2008 Apr;8(2):98-106.
  9. Use of high flow nasal cannula in critically ill infants, children, and adults: a critical review of the literature.
    Lee JH, Rehder KJ, Williford L, Cheifetz IM, Turner DA,
    Intensive Care Med 2013 Feb;39(2):247-57.
  10. Heated humidified high-flow nasal cannula therapy in children.
    Hutchings FA, Hilliard TN, Davis PJ,
    Arch. Dis. Child. 2015 Jun;100(6):571-5.
  11. Pilot study of vapotherm oxygen delivery in moderately severe bronchiolitis.
    Hilliard TN, Archer N, Laura H, Heraghty J, Cottis H, Mills K, Ball S, Davis P,
    Arch. Dis. Child. 2012 Feb;97(2):182-3.
  12. Is treatment with a high flow nasal cannula effective in acute viral bronchiolitis? A physiologic study.
    Milési C, Baleine J, Matecki S, Durand S, Combes C, Novais AR, Cambonie G, Combonie G,
    Intensive Care Med 2013 Jun;39(6):1088-94.
  13. Physiologic effect of high-flow nasal cannula in infants with bronchiolitis.
    Hough JL, Pham TM, Schibler A,
    Pediatr Crit Care Med 2014 Jun;15(5):e214-9.