Oral Feeding on High-Flow Nasal Cannula in Children Hospitalized With Bronchiolitis
| العنوان: | Oral Feeding on High-Flow Nasal Cannula in Children Hospitalized With Bronchiolitis |
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| المؤلفون: | Sarah Gray, Begem Lee, Michael Levy, Tiranun Rungvivatjarus, Aarti Patel, Elizabeth Mannino Avila, Erin Fisher, Kyung E. Rhee |
| المصدر: | Hospital Pediatrics. 13:159-167 |
| بيانات النشر: | American Academy of Pediatrics (AAP), 2023. |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Pediatrics, Perinatology and Child Health, General Medicine, Pediatrics |
| الوصف: | OBJECTIVE Oral feeding by children with bronchiolitis on high-flow nasal cannula (HFNC) is questioned, resulting in high practice variability. Our objective was to determine the incidence of aspiration pneumonia and adverse feeding events in otherwise healthy children with bronchiolitis on HFNC who fed orally from admission. METHODS We conducted a single-center, retrospective chart review, in a tertiary children’s hospital, of 876 children who were RESULTS Most patients (77.2%) met inclusion criteria and were fed orally within 2 hours of admission. The average maximum HFNC flow rate was 8 L/min (1 L/kg/min); the average maximum respiratory rate was 62 ± 10. Adverse feeding events occurred in 11 patients (1.6%), of which 3 had a concern for possible microaspiration. None were diagnosed with or treated for aspiration pneumonia. Few patients (8.1%) were made nil per os while on HFNC but returned to oral feeding by discharge. CONCLUSION Among those with bronchiolitis on HFNC who received oral nutrition on admission, there were few incidences of adverse feeding events and no diagnoses of aspiration pneumonia, suggesting that oral feeding while on HFNC can be well-tolerated in similar populations. However, this study was limited by its single-center retrospective design, and future prospective studies are needed. |
| تدمد: | 2154-1671 2154-1663 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::0b5dcebc87989efdd1da7edd302de89e https://doi.org/10.1542/hpeds.2022-006740 |
| رقم الأكسشن: | edsair.doi...........0b5dcebc87989efdd1da7edd302de89e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 21541671 21541663 |
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