Journal of Pediatric Emergency and Intensive Care Medicine (Aug 2022)
Comparison of Opinions and Practices of Pediatric Intensive Care and Pediatric Emergency Departments in High-flow Nasal Cannula Oxygen Therapy: A National Survey Study
Abstract
Introduction:The purpose of this study is to compare the practice and opinions of tertiary pediatric intensive care units and pediatric emergency departments on high flow nasal cannula oxygen therapy in Turkey.Methods:A questionnaire was sent to the clinical chiefs of the tertiary intensive care units or pediatric emergency departments who are members of the Pediatric Emergency and Intensive Care Association via e-mail. In the questionnaire, the features of the unit, the high-flow nasal cannula oxygen therapy practice and their opinions on this treatment were asked. Pathologies using highflow nasal cannula and the success expected were asked to score between 0 and 10 (0: Completely ineffective; 10: Very effective).Results:A total of 14 pediatric intensive care units and 17 pediatric emergency departments were included in the study. The most frequently used and the highest success score belonged to bronchiolitis. It is used more frequently for neuromuscular diseases in emergency departments (p0.05). In the follow-up, intensive care units use the chest radiography and the emergency departments use a respiratory severity score more frequently (p<0.05). Complication of air leak syndrome was more common in intensive care units (35.7% vs. 0; p<0.05). All units described high-flow nasal cannula oxygen therapy as an easy-to-use method. 94.1% of the emergency departments and all intensive care units stated that the treatment was comfortable for the patient.Conclusion:High flow nasal cannula oxygen therapy is used in various pathologies that cause respiratory distress. The treatment practice of the units partially overlaps. It is considered to be easy to apply, comfortable and effective treatment for patients.
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