Use of High-Flow Nasal Cannulas in Saudi’s Neonatal Level III Intensive Care Units: A Nationwide Questionnaire Study

Author:

Algarni Saleh S.123ORCID,Alshammari Khalid1,Alkhalifah Meshal1,Almutairi Waleed1,Aljaidi Abdulrahman1,Alruwaili Arwa12,Alqarni Abdulkarim S23,Alotaibi Tareq F123,Alqahtani Mohammed M123,Aljohani Hassan123,Ismaeil Taha T123,Alanazi Abdullah M M123,Alghamdi Abdulrhman S24ORCID,Alanazi Khaled3,Alwadeai Khalid S5,Siraj Rayan6,Alanazi Turki M78,Almudeer Ali9,Ali Kamal3,Alsaif Saif3

Affiliation:

1. Department of Respiratory Therapy, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

2. King Abdullah International Medical Research Center, Riyadh, Saudi Arabia

3. King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia

4. Department of Emergency Medical Services, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

5. Department of Rehabiltation Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia

6. Department of Respiratory Care, College of Applied Medical Sciences, King Faisal University, Al-Ahasa, Saudi Arabia

7. Department of Respiratory Therapy, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, AlAhsa, Saudi Arabia

8. King Abdullah International Medical Research Center, AlAhsa, Saudi Arabia

9. King Saud University Medical City, Riyadh, Saudi Arabia

Abstract

Objective. To describe heated humidified high-flow nasal cannulas (HHHFNC) utilization in level III neonatal intensive care units (NICUs) in Saudi Arabia. Methods. A prospective cross-sectional study using an electronic web-based questionnaire. The survey targeted level III NICUs hospitals using HHHFNCs, covering HHHFNC availability, protocols, patient characteristics, and indications. It also collected opinions on the benefits of HHHFNCs compared to nasal continuous positive airway pressure (nCPAP). Results. Out of 47 government-level III neonatal intensive care units, 35 (74%) responded to the survey. Among the included units, 46% had guidelines for HHHFNC use. Additionally, 51% reported using HHHFNC in infants of all gestational ages. The primary indication for HHHFNC use was weaning off nCPAP (34%), with 60% of the respondents noting its advantages for kangaroo care and breastfeeding. Conclusion. HHHFNC are increasingly prevalent in NICUs in Saudi Arabia. However, there remain no clear policies or guidelines regarding their use in preterm infants.

Publisher

SAGE Publications

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