Is Nasal High Flow Inferior to Continuous Positive Airway Pressure for Neonates? 2019

Kate A Hodgson, and Brett J Manley, and Peter G Davis
Neonatal Services, Newborn Research Centre, The Royal Women's Hospital, Level 7, 20 Flemington Road, Parkville, Victoria 3052, Australia; Department of Obstetrics and Gynaecology, The University of Melbourne, Australia. Electronic address: Kate.Hodgson@thewomens.org.au.

Nasal high-flow therapy (nHF) is increasingly used for neonates, with perceived benefits including reduced rates of nasal trauma and parent and nursing staff preference. Current evidence suggests that although nHF is a reasonable alternative for postextubation support of preterm infants, continuous positive airway pressure is a superior modality for primary support of respiratory distress syndrome. Minimal evidence exists for use of nHF in extremely preterm infants less than 28 weeks' gestation. Depending on clinician preference, units may still choose nHF in some settings, although careful choice of appropriate patients, and availability of rescue continuous positive airway pressure, is essential.

UI MeSH Term Description Entries
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D007235 Infant, Premature, Diseases Diseases that occur in PREMATURE INFANTS.
D009666 Nose A part of the upper respiratory tract. It contains the organ of SMELL. The term includes the external nose, the nasal cavity, and the PARANASAL SINUSES. External Nose,External Noses,Nose, External,Noses,Noses, External
D010102 Oxygen Inhalation Therapy Inhalation of oxygen aimed at restoring toward normal any pathophysiologic alterations of gas exchange in the cardiopulmonary system, as by the use of a respirator, nasal catheter, tent, chamber, or mask. (From Dorland, 27th ed & Stedman, 25th ed) Inhalation Therapy, Oxygen,Therapy, Oxygen Inhalation,Inhalation Therapies, Oxygen,Oxygen Inhalation Therapies,Therapies, Oxygen Inhalation
D005865 Gestational Age The age of the conceptus, beginning from the time of FERTILIZATION. In clinical obstetrics, the gestational age is often estimated from the onset of the last MENSTRUATION which is about 2 weeks before OVULATION and fertilization. It is also estimated to begin from fertilization, estrus, coitus, or artificial insemination. Embryologic Age,Fetal Maturity, Chronologic,Chronologic Fetal Maturity,Fetal Age,Maturity, Chronologic Fetal,Age, Embryologic,Age, Fetal,Age, Gestational,Ages, Embryologic,Ages, Fetal,Ages, Gestational,Embryologic Ages,Fetal Ages,Gestational Ages
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D045422 Continuous Positive Airway Pressure A technique of respiratory therapy, in either spontaneously breathing or mechanically ventilated patients, in which airway pressure is maintained above atmospheric pressure throughout the respiratory cycle by pressurization of the ventilatory circuit. (On-Line Medical Dictionary [Internet]. Newcastle upon Tyne(UK): The University Dept. of Medical Oncology: The CancerWEB Project; c1997-2003 [cited 2003 Apr 17]. Available from: http://cancerweb.ncl.ac.uk/omd/) Airway Pressure Release Ventilation,BiPAP Bilevel Positive Airway Pressure,BiPAP Biphasic Positive Airway Pressure,Bilevel Positive Airway Pressure,Biphasic Positive Airway Pressure,APRV Ventilation Mode,Bilevel Continuous Positive Airway Pressure,Biphasic Continuous Positive Airway Pressure,CPAP Ventilation,Nasal Continuous Positive Airway Pressure,nCPAP Ventilation,APRV Ventilation Modes,Ventilation Mode, APRV,Ventilation Modes, APRV,Ventilation, CPAP,Ventilation, nCPAP
D062071 Infant, Extremely Premature A human infant born before 28 weeks of GESTATION. Extremely Premature Infants,Extremely Preterm Infants,Extremely Premature Infant,Extremely Preterm Infant,Infant, Extremely Preterm,Infants, Extremely Premature,Infants, Extremely Preterm,Premature Infant, Extremely,Premature Infants, Extremely,Preterm Infant, Extremely,Preterm Infants, Extremely

Related Publications

Kate A Hodgson, and Brett J Manley, and Peter G Davis
December 2021, Clinics in perinatology,
Kate A Hodgson, and Brett J Manley, and Peter G Davis
November 2010, Archives of disease in childhood. Fetal and neonatal edition,
Kate A Hodgson, and Brett J Manley, and Peter G Davis
December 2015, Indian pediatrics,
Kate A Hodgson, and Brett J Manley, and Peter G Davis
February 2015, Journal of paediatrics and child health,
Kate A Hodgson, and Brett J Manley, and Peter G Davis
April 2021, Journal of feline medicine and surgery,
Kate A Hodgson, and Brett J Manley, and Peter G Davis
November 2019, Sleep medicine,
Kate A Hodgson, and Brett J Manley, and Peter G Davis
September 2006, Journal of perinatology : official journal of the California Perinatal Association,
Kate A Hodgson, and Brett J Manley, and Peter G Davis
July 2002, Archives of disease in childhood. Fetal and neonatal edition,
Kate A Hodgson, and Brett J Manley, and Peter G Davis
February 2017, The Cochrane database of systematic reviews,
Copied contents to your clipboard!