A nationwide survey on the use of heated humidified high flow oxygen therapy on the paediatric wards in the UK: current practice and research priorities.

BMC Pediatrics
Osama HoshehPadmanabhan Ramnarayan

Abstract

Heated Humidified High Flow Nasal Cannula Oxygen Therapy (HHFNC) is increasingly used on the paediatric wards and High Dependency Units (HDU) for different types of pathologies and different age groups. We aimed to describe current practice related to the use of HHFNC on the paediatric wards and HDUs, weaning practices and preferred outcome measures for future research. We carried out a cross-sectional online survey of UK paediatric consultants or their delegates working on the paediatric wards. Descriptive analysis of their geographical, and organizational characteristics, their specialties, and their level of experience was investigated. Reasons for HHFNC initiation, weaning criteria, patients' characteristics and their primary pathologies were also analysed. Participation of 218 paediatricians from 81 hospitals (Median: 2.7, Range: 1-11) was registered. HHFNC was provided in most of the surveyed hospitals (93%, 75/81). A High Dependency Unit (HDU) was available in 47 hospitals (58%); less than a third of those have a dedicated paediatrician. Decisions around HHFNC were made solely by paediatricians in (75%) of the cases, mostly at hospitals with no HDU compared to those with dedicated HDUs (70.3% VS 36.6, 95%CI:22.6-50.4%, P...Continue Reading

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Citations

May 21, 2020·Neurosurgery·Daniel M S RaperAdib A Abla
Oct 22, 2020·Respiratory Medicine Case Reports·Divya SinghPrabhas Prasun Giri
Dec 8, 2020·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Kalaimaran Sadasivam, Bala Ramachandran
Apr 24, 2021·European Journal of Pediatrics·Rosalie S LinssenUNKNOWN PICE Study Group
Apr 25, 2021·International Journal of Pediatric Otorhinolaryngology·Alan J GrayRob M DiBlasi

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Methods Mentioned

BETA
sedation

Software Mentioned

Stata
Jisc
HHFNC
Online Survey Software BOS
Excel

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