Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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Modified high-flow nasal cannula for children with respiratory distress

  • Itdhiamornkulchai, Sarocha (Division of Pediatric Critical Care Medicine, Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University) ;
  • Preutthipan, Aroonwan (Division of Pediatric Pulmonology, Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University) ;
  • Vaewpanich, Jarin (Division of Pediatric Critical Care Medicine, Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University) ;
  • Anantasit, Nattachai (Division of Pediatric Critical Care Medicine, Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University)
  • 투고 : 2020.08.14
  • 심사 : 2021.05.13
  • 발행 : 2022.03.15
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초록

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. Thirtynine 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.

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과제정보

The authors would like to acknowledge all colleagues in Pediatric Critical Care and Pulmonary Division, the Department of Pediatrics Ramathibodi Hospital, Mahidol University. We would also like to thank Prof. Pat Mahachoklertwattana for the critical review of the article and Dr. Jeeraparn Phosuwattanakul for drawing the modified high-flow nasal cannula picture. We would like to thank Mr. Stephen Pinder for grammar correction. Furthermore, our special thanks to all patients who participated in this study.

참고문헌

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