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- W2806067627 abstract "Aims & Objectives: Heated, humidified, high flow nasal cannula (HHHFNC) is a non-invasive respiratory support that provides optimum flow of air-oxygen mixture. Recently, many studies indicated usefulness in pediatric respiratory distress patients with good safety profiles. However, due to high cost of conventional HHHFNC in our clinical settings, we modified our existing medical equipment into modified HHHFNC, which cost approximately one-third of the conventional HHHFNC. The objective in this study was to compare the effectiveness of conventional and modified HHHFNC.Methods A single-center, prospective study conducted from September 2016 – November 2017 in children aged 1 month to 5 years with respiratory insufficiency and post-extubation who were admitted in PICU and required HHHFNC. Participants were randomized into conventional and modified HHHFNC group. Changes of respiratory rate, heart rate, and intubation rate were analyzed. Data of both equipment in aspect of flow and pressure were collected. Results A total of 70 children were commenced on HHHFNC therapy. Thirty-nine children were randomized into modified HHHFNC group, while the remaining were randomized into conventional group. There were no statistically significant difference regarding the changes of respiratory rate, heart rate and intubation rate. Using same flow rate, Bland-altman plot revealed the mean (95%CI) pressure discrepancy between conventional group and modified group was -0.41 mmHg (-0.53 – 1.35). No major complications occurred in either groups. Conclusions It appeared HHHFNC therapy from both equipment were effective in children with respiratory insufficiency. We suggested that modified HHHFNC could be an option for hospital with limited resource." @default.
- W2806067627 created "2018-06-13" @default.
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- W2806067627 date "2018-06-01" @default.
- W2806067627 modified "2023-09-26" @default.
- W2806067627 title "Abstract P-068" @default.
- W2806067627 doi "https://doi.org/10.1097/01.pcc.0000537525.06980.60" @default.
- W2806067627 hasPublicationYear "2018" @default.
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