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Clinical Review of High Flow Nasal Cannula and Continuous Positive Airway Pressure in Pediatric Acute Respiratory Distress

Overview
Publisher Wolters Kluwer
Specialty Medical Education
Date 2021 Dec 21
PMID 34931143
Citations 2
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Abstract

Acute Respiratory Distress Syndrome (ARDS) causes much morbidity and mortality in children. In mild to moderate ARDS, non-invasive ventilation (NIV) is the treatment of choice. Recently, there are 2 kinds of NIV used Continuous Positive Airway Pressure (CPAP) or High Flow Nasal Cannula (HFNC). Both of them can be used in various respiratory distress and have different physiological mechanisms. The effectiveness to improve the clinical parameter, morbidity, and mortality are similar between CPAP and HFNC. However, HFNC application is more tolerated in acute respiratory distress in children, with less nasal injury, lower heart rate inflicted, and better comfort index score.

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