Sachin Shah1, Amita Kaul2, Rupesh Bhosale1, Ganesh Shiwarkar1. 1. Department of Neonatal and Pediatric Intensive Care Services, Surya Mother and Child superspecialty Hospital, Pune, Maharashtra, India. 2. Department of Neonatal and Pediatric Intensive Care Services, Surya Mother and Child superspecialty Hospital, Pune, Maharashtra, India. Correspondence to: Dr Amita Kaul, Surya Mother and Child Superspecialty Hospital, Pune Octroi Naka, Sr. No. 8, Bhujbal Chowk, Near Wakad, Pune, Maharashtra 411 057, India. amitakaul@hotmail.com.
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. CONCLUSION: 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.
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. CONCLUSION: 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.