The Journal of Pediatrics
Volume 154, Issue 2 , Pages 160-162 , February 2009

High-Flow Nasal Cannula: A Kinder, Gentler CPAP?

  • Neil N. Finer, MD

      Affiliations

    • Professor of Pediatrics
    • Corresponding Author InformationReprint requests: Neil N. Finer, Professor of Pediatrics, Division of Neonatology, UCSD Medical Center and School of Medicine, 402 Dickinson St, MPF 1-140, San Diego, CA 92103-8774
    • ,
  • Frank L. Mannino, MD

      Affiliations

    • Professor of PediatricsDivision of NeonatologyUniversity of California San Diego Medical Center and School of MedicineSan Diego, California

References 

  1. Lampland LL, Plumm B, Meyers PA, Worwa CT, Mammel MC. Observational study of humidified high flow nasal cannula compared with nasal continuous positive airway pressure. J Pediatr. 2009;154:177–182
  2. Kopelman AE, Holbert D. Use of oxygen cannulas in extremely low birthweight infants is associated with mucosal trauma and bleeding, and possibly with coagulase-negative staphylococcal sepsis. J Perinatol. 2003;23:94–97
  3. Kopelman AE. Airway obstruction in two extremely low birthweight infants treated with oxygen cannulas. J Perinatol. 2003;23:164–165
  4. Finer NN. Nasal cannula use in the preterm infant: oxygen or pressure?. Pediatrics. 2005;116:1216–1217
  5. Courtney SE, Pyon KH, Saslow JG, Arnold GK, Pandit PB, Habib RH. Lung recruitment and breathing pattern during variable versus continuous flow nasal continuous positive airway pressure in premature infants: an evaluation of three devices. Pediatrics. 2001;107:304–308
  6. Sreenan C, Lemke RP, HudsonMason A, Osiovich H. High-flow nasal cannulae in the management of apnea of prematurity: a comparison with conventional nasal continuous positive airway pressure. Pediatrics. 2001;107:1081–1083
  7. DePaoli AG, Lau R, Davis PG, Morley CJ. Pharyngeal pressure in preterm infants receiving nasal continuous positive airway pressure. Arch Dis Child. 2005;90:F79–F81
  8. American Association of Respiratory Therapy. AARC Clinical Practice Guideline (Selection of an oxygen delivery device for neonatal and pediatric patients–2002 Revision & Update). Respir Care. 2002;47:707–716
  9. Locke RG, Wolfson MR, Shaffer TH, Rubenstein SD, Greenspan JS. Inadvertent administration of positive end-distending pressure during nasal cannula flow. Pediatrics. 1993;91:135–138
  10. Chang GY, Cox CC, Shaffe TH. [1231] Nasal Cannula, CPAP and vapotherm: effect of flow on temperature, humidity, pressure and resistance. Pediatr Acad Soc. 2005;57:1231
  11. Quinn D. Nasal cannula treatment for apnea of prematurity. Pediatr Acad Soc. 2005;57:1248
  12. Ovalle OO, Gomez T, Troncoso C, Palacios J, Ortiz E. High flow nasal cannula after surfactant treatment for infant respiratory distress syndrome in preterm infants <30 Wweks. Pediatr Acad Soc. 2005;57:3417
  13. Ramanathan A, Cayabyab R, Sardesai S, Siassi B, Seri I, Ramanathan R. High flow nasal cannula use in preterm and term newborns admitted to neonatal intensive care unit: a prospective, observational study. Pediatr Acad Soc. 2005;57:3424
  14. Bonta BW, Uauy R, Warshaw JB, Motoyama EK. Determination of optimal continuous positive airway pressure for the treatment of IRDS by measurement of esophageal pressure. J Pediatr. 1977;91:449–454
  15. Landers S, Hansen TN, Corbet AJ, Stevener MJ, Rudolph AJ. Optimal constant positive airway pressure assessed by arterial alveolar difference for CO2 in hyaline membrane disease. Pediatr Res. 1986;20:884–889
  16. Shoemaker MT, Pierce MR, Yoder BA, DiGeronimo RJ. High flow nasal cannula versus nasal CPAP for neonatal respiratory disease: a retrospective study. J Perinatol. 2007;27:85–91

PII: S0022-3476(08)00698-7

doi: 10.1016/j.jpeds.2008.08.021

The Journal of Pediatrics
Volume 154, Issue 2 , Pages 160-162 , February 2009

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