![]() November 2014.Īrnim A, Jamal SM, John-Stewart GC, et al. Agency for Healthcare Research and Quality. Utilization of intensive care services, 2011. 006).Īmong pediatric patients, the implementation of an HFNC protocol increases initial flow, allows for more rapid weaning, and may decrease the incidence of escalation to noninvasive ventilation or mechanical ventilation.īronchiolitis high-flow nasal cannula pediatric intensive care unit.īarrett ML, Smith MW, Elixhauser A, Honigman LS, Pines JM. 015) and a shorter length of stay (5.97 days vs. Post-protocol patients also had a lower HFNC failure rate (10% vs. 001) and a higher weaning rate of flow (median 4.1 L/min/h vs. Post-protocol patients compared to pre-protocol patients had significantly a higher initial flow (median 14.5 L/min vs. ![]() The median age was 20 months, and the indication for HFNC therapy was bronchiolitis in 29% of patients. ![]() In total, 584 patients were included, 292 pre-protocol, and 292 post-protocol. Propensity matching was used to account for differences in age and weight pre- and post-protocol. Our primary outcomes were initial flow and rate of weaning pre- and post-protocol our secondary outcomes were HFNC failure rate (defined as escalation to noninvasive ventilation or mechanical ventilation) and length of hospital stay. Patients were evaluated before and after the implementation of a protocol that promoted initiation of higher flow and rapid weaning. This was a quality improvement/pre-post intervention study of pediatric patients who received HFNC therapy in our teaching, tertiary care children's hospital between January 2015 and April 2019. We conducted a pre-post intervention study of patients placed on HFNC therapy before and after the implementation of an HFNC protocol. In pediatrics, high-flow nasal cannula (HFNC) therapy is an intermediate level of respiratory support with variability in practice. Respiratory illnesses compose the most common diagnoses of patients admitted to pediatric intensive care units. ![]()
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