title: High-flow nasal cannula: Mechanisms, evidence and recommendations.
abstract: The use of high-flow nasal cannula (HF) therapy as respiratory support for preterm infants is rapidly increasing, due to its perceived ease of use and other potential benefits over the standard 'non-invasive' respiratory support, continuous positive airway pressure (CPAP). The evidence from randomized trials suggests that HF is an alternative to CPAP for post-extubation support of preterm infants. Limited data are available from randomized trials comparing HF with CPAP as primary support, and few trials have included extremely preterm infants. This review discusses the proposed mechanisms of action of HF, the evidence from clinical trials of HF use in preterm infants, and proposes recommendations for evidence-based practice.
authors: Neonatal Services and Newborn Research Centre, The Royal Women's Hospital, Parkville, Australia; Department of Obstetrics and Gynaecology, The University of Melbourne, Parkville, Australia. Electronic address: brett.manley@thewomens.org.au.
authors: Brett J
authors: BJ
authors: Manley
authors: Neonatal Services and Newborn Research Centre, The Royal Women's Hospital, Parkville, Australia; Department of Obstetrics and Gynaecology, The University of Melbourne, Parkville, Australia; Murdoch Children's Research Institute, Parkville, Australia.
authors: Louise S
authors: LS
authors: Owen
mesh_terms: D045422:Continuous Positive Airway Pressure / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D012127:Respiratory Distress Syndrome, Newborn / Q000628:therapy*; D016896:Treatment Outcome
keywords: Continuous positive airway pressure; Neonatal intensive care; Newborn; Premature infant; Respiratory distress syndrome