Guidelines for high‐flow nasal cannula oxygen therapy in neonates (2022)

Author:

Huang Yi1ORCID,Zhao Jing12,Hua Xintian12,Luo Keren12ORCID,Shi Yuan3,Lin Zhenlang4,Tang Jun12ORCID,Feng Zhichun5,Mu Dezhi12,

Affiliation:

1. Department of Neonatology West China Second University Hospital Sichuan University Chengdu P.R. China

2. Key Laboratory of Birth Defects and Related Diseases of Women and Children Ministry of Education Chengdu P.R. China

3. Department of Neonatology Children's Hospital of Chongqing Medical University Chongqing P.R. China

4. Department of Neonatology The Second Affiliated Hospital of Wenzhou Medical University Wenzhou P.R. China

5. Department of Neonatology Faculty of Pediatrics Chinese PLA General Hospital Beijing P.R. China

Abstract

AbstractHigh‐flow nasal cannula (HFNC) oxygen therapy, which is important in noninvasive respiratory support, is increasingly being used in critically ill neonates with respiratory failure because it is comfortable, easy to setup, and has a low incidence of nasal trauma. The advantages, indications, and risks of HFNC have been the focus of research in recent years, resulting in the development of the application. Based on current evidence, we developed guidelines for HFNC in neonates using the Grading of Recommendations Assessment, Development and Evaluation (GRADE). The guidelines were formulated after extensive consultations with neonatologists, respiratory therapists, nurse specialists, and evidence‐based medicine experts. We have proposed 24 recommendations for 9 key questions. The guidelines aim to be a source of evidence and reference of HFNC oxygen therapy in clinical practice, and so that more neonates and their families will benefit from HFNC.

Funder

National Key Research and Development Program of China

National Natural Science Foundation of China

Publisher

Wiley

Subject

Health Policy,General Medicine

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