Problemi speciali
L’ossigenoterapia ad alti flussi in neonatologia
High flow oxygen-therapy in neonatology
Gianfranco Maffei, Rosario Magaldi
SC di Neonatologia e Terapia Intensiva Neonatale, “Ospedali Riuniti”, Azienda Ospedaliero-Universitaria di Foggia
Gennaio 2013 - pagg. 39 -41
Abstract
The Authors reviewed the literature on the effects of heated humidified high flow nasal
cannula (HHHFNC) treatment in preterm infants. The HHHFNC delivers a continuous distending
pressure (CDP) in smaller infants proportional to the flow that is extremely variable
and unpredictable. For this motive, the application of high flow therapy should be
limited to the oxygen-therapy and should not be used as device for producing continuous
distending pressure. The aim of this article is to disclose the procedure among paediatricians
of the territory.
Classificazione MeSH
Contenuto riservato
Per leggere l'articolo completo è necessario effettuare il login.
Non sei ancora registrato? Registrati
Bibliografia
1. Fontanari P, Burnet H, Zattara-Hartmann
MC, et al. Changes in airway resistance induced
by nasal inhalation of cold dry, dry, or
moist air in normal individuals. J Appl Physiol
1996;81:1739-43.
2. Numa AH, Newth CJ. Anatomic dead space
in infants and children. J Appl Physiol 1996;80:
1485-9.
3. Locke RG, Wolfson MR, Shaffer TH, et al.
Inadvertent Administration of Positive End-
Distending Pressure During Nasal Cannula
Flow. Pediatrics 1993;91:135-8.
4. Kubicka ZJ, Limauro J, Darnall RA. Heated,
Humidified High-Flow Nasal Cannula Therapy:
Yet Another Way to Deliver Continuous
Positive Airway Pressure? Pediatrics 2008;
121:82-8.
5. Dani C, Pratesi S, Migliori C, et al. High
Flow Nasal Cannula therapy as support in
preterm infant. Pediatric Pulmonology 2009;
44:629-34.
6. Campbell D., Shah PS, Shah V, et al. Nasal
continuous positive airway pressure from
high flow cannula versus infant flow for
preterm infants. J Perinatol 2006;26:546-9.
7. Holleman-Duray D, Kaupie D, Weiss MG.
Heated humidified high-flow nasal cannulae:
use and neonatal early extubation protocol. J
Perinatol 2007;27:776-81.
8. Abdel-Hady H, Shouman B, Aly H. Early
weaning from CPAP to high flow nasal cannula
in preterm infants is associated with prolonged
oxygen requirement: a randomized
controlled trial. Early Hum Dev 2011;87:205-8.
9. Maffei GF, Rinaldi M, Popolo PP, et al. Trattamento
della bronchiolite da VRS con ossigenoterapia
ad alti flussi: casi clinici. Atti XV
Congresso Nazionale Societŕ Italiana di
Neonatologia. Bologna 2009, pag. 262.
10. McKiernan C, Chua LC, Visintainer PF,
Allen H. High flow nasal cannulae therapy in
infants with bronchiolitis. J Pediatr 2010;156:
634-8.
11. Schibler A, Pham TM, Dunster KR, et al.
Reduced intubation rates for infants after introduction
of high-flow nasal prong oxygen
delivery. Intensive Care Med 2011;37:847-52.
12. McGinley B, Halbower A, Schwartz AR, et
al. Effect of a high flow open nasal cannula
system on obstructive sleep apnea in children.
Pediatrics 2009;124:179-88.
13. McKiernan C, Chua LC, Visintainer PF,
Allen H. High flow nasal cannulae therapy in
infants with bronchiolitis. J Pediatr 2010;156:
634-8.
14. Kim IK, Phrampus E, Sikes K, et al. A-oxygen
therapy for infants with bronchiolitis: a
randomized controlled trial. Arch Pediatr Adolesc
Med 2011;165:1115-22.
15. Spentzas T, Minarik M, Patters AB, et al.
Children with respiratory distress treated
with high-flow nasal cannula. J Intensive Care
Med 2009;24:323-8.
16. Wing R, James C, Maranda LS, Armsby
CC. Use of high-flow nasal cannula support in
the emergency department reduces the need
for intubation in pediatric acute respiratory insufficiency.
Pediatr Emerg Care 2012;28:1117-
23.
17. Jasin LR, Kern S, Thompson S, Walter C,
Rone JM, Yohannan MD. Subcutaneous scalp
emphysema, pneumo-orbitis and pneumocephalus
in a neonate on high humidity high
flow nasal cannula. J Perinatol 2008;28:779-81.
18. Shoemaker MT, Pierce MR, Yoder BA, et
al. High flow nasal cannula versus nasal PAP
for neonatal respiratory disease: a retrospective
study. J Perinatol 2007;27:85-91.
19. Wilkinson D, Andersen C, O’Donnell CP, et
al. High flow nasal cannula for respiratory
support in preterm infants. Cochrane Database
Syst Rev 2011;11:CD006405.
20. Jardine LA, Inglis GD, Davies MW. Strategies
for the withdrawal of nasal continuous
positive airway pressure (NCPAP) in preterm
infants. Cochrane Database Syst Rev 2011;
2:CD006979.
Corrispondenza: gfmaffei@tiscali.it