High Flow Nasal Cannula Therapy for Bronchiolitis Across the Emergency Department and Acute Care Floor |
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| Affiliation: | 2. Division of Hospitalist Medicine, Children’s National Health System, Washington, DC;2. Department of Pediatrics, Children''s Healthcare of Atlanta and Emory University, Atlanta, GA;3. Division of Emergency Medicine, Nationwide Children’s Hospital, Columbus, OH;4. Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, OH;6. Division of Hematology/Oncology/BMT, Nationwide Children’s Hospital, Columbus, OH;2. Pediatrics and Emergency Medicine, Vanderbilt University School of Medicine, Nashville, TN;3. Pediatrics and Emergency Medicine, University of Colorado School of Medicine in Aurora, CO;2. Department of Pediatrics, Northwestern University Feinberg School of Medicine;3. Cook Children''s Hospital, Fort Worth, TX;3. Division of Neurology;4. Division of Endocrinology;5. Ann & Robert H. Lurie Children’s Hospital of Chicago, Northwestern University Feinberg School of Medicine |
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| Abstract: | Bronchiolitis is among the most common pediatric illnesses, and accounts for a significant burden of disease for children and families with large economic burden on the United States healthcare system. Although bronchiolitis is extremely common, treatment is varied with little foundational evidence for best practices. In the past decade the use of high flow nasal cannula (HFNC) has increased in use in children with acute respiratory conditions including bronchiolitis. Multiple studies of patients in the intensive care unit (ICU) have shown that initiation of HFNC therapy has led to decreased intubation rates. Institutions around the country have implemented local protocols on using HFNC for bronchiolitis on the pediatric acute care floor but there is little literature that supports this use. We aim to provide a review of the literature on the efficacy of HFNC and share experiences with its use outside the ICU on acute care floors. |
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