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In the NICU: CPAP has long been the gold-standard of NON-INVASIVE ventilation- but now we're all realizing HIGH FLOW NASAL CANNULAs are pretty great too! Watch this review and learn: What is a HFNC? How does it differ from a regular NC? Why are HFNCs great? Why are they better or worse than CPAP? What flow do we start it on? How do they work? What situations has HFNC proven to be helpful???
This is NOT sponsored- but A MASSIVE thanks to Kelsey Shaylor and all the WONDERFUL people at Fisher and Paykel for allowing us to use their educational slides, and providing us with every article ever written about non-invasive ventilation. Your efforts towards education are so impressive!
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Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
References:
www.otago.ac.n...
Yoder BA, Manley B, Collins C, Ives K, Kugelman A, Lavizzari A, McQueen M. Consensus approach to nasal high-flow therapy in neonates. J Perinatol. 2017 Jul;37(7):809-813. doi: 10.1038/jp.2017.24. Epub 2017 Mar 23. PMID: 28333157.
The evidence for high flow nasal cannula devices in infants
Iram Haq et al. Pediatric Respiratory Reviews 15 (2014) 124-134
Nasal High-Flow Therapy during Neonatal Endotracheal Intubation
Kate A. Hodgson, M.B., B.S., Louise S. Owen, M.D., C. Omar F. Kamlin, D.Med.Sci., Calum T. Roberts, Ph.D., Sophie E. Newman, M.B., B.S., Kate L. Francis, M.Biostat., Susan M. Donath, M.A., Peter G. Davis, M.D., and Brett J. Manley, Ph.D.
April 28, 2022 N Engl J Med 2022; 386:1627-1637
DOI: 10.1056/NEJMoa2116735
Hodgson KA, Wilkinson D, De Paoli AG, Manley BJ. Nasal high flow therapy for primary respiratory support in preterm infants. Cochrane Database of Systematic Reviews 2023, Issue 5. Art. No.: CD006405. DOI: 10.1002/14651858.CD006405.pub4. Accessed 19 June 2023.
Lavizzari A, Colnaghi M, Ciuffini F, Veneroni C, Musumeci S, Cortinovis I, Mosca F. Heated, humidified high-flow nasal cannula vs nasal continuous positive airway pressure for respiratory distress syndrome of prematurity: a randomized clinical noninferiority trial. JAMA Pediatr. 2016;99:F315-20.
International Journal of Clinical Pediatrics, ISSN 1927-1255 print, 1927-1263 online, Open Access
Article copyright, the authors; Journal compilation copyright, Int J Clin Pediatr and Elmer Press Inc
Journal website www.theijcp.org
biologylearner...
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**TIMESTAMPS**
02:19 What is a HFNC?
07:19 Why use a HFNC vs CPAP?
10:44 How does HFNC work?
19:41 In what situations do we use HFNC?
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*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.