Use of high-flow nasal cannula in neonates: Nationwide survey in Japan.
High-flow nasal cannula is a new modality of respiratory support and is increasing in popularity despite the lack of supporting evidence. We investigated the prevalence of its use in tertiary neonatal units in Japan. A paper-based survey was conducted. The response rate was 83%. High-flow nasal cannula was used in 46/80 units (58%), of which 96% used the high-flow nasal cannula without guidelines. It was used for several indications, including weaning off nasal continuous positive airway pressure and post-extubation respiratory support. The main perceived benefits of the cannula included better access to the neonate and reduced risk of nasal trauma. This survey found that high-flow nasal cannula is used without clear criteria and that clinical practice varies across neonatal units in Japan. Its use in neonates needs to be urgently evaluated.
Department of Pediatrics, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
Yukiko
Y
Motojima
Department of Pediatrics, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
Masato
M
Ito
Department of Pediatrics, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
Shuntaro
S
Oka
Department of Neonatal Medicine, Maternal and Perinatal Center, Tokyo Women's Medical University, Tokyo, Japan.
Atsushi
A
Uchiyama
Department of Pediatrics, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
Masanori
M
Tamura
Department of Pediatrics, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
Fumihiko
F
Namba
D000072601:Cannula / Q000706:statistics & numerical data*; D045422:Continuous Positive Airway Pressure / Q000295:instrumentation*; D005260:Female; D005500:Follow-Up Studies; D005865:Gestational Age; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D007234:Infant, Premature; D007363:Intensive Care Units, Neonatal / Q000706:statistics & numerical data; D007564:Japan / Q000453:epidemiology; D008297:Male; D011159:Population Surveillance / Q000379:methods*; D012127:Respiratory Distress Syndrome, Newborn / Q000453:epidemiology / Q000628:therapy*; D012189:Retrospective Studies
high-flow nasal cannula; neonate; oxygen; questionnaire; respiratory support