Hot Topics in Neonatology Neonatal Respiratory Symposium Nasal High Flow Therapy – Evidence Base for Preterm Infants Dr Louise Owen, MD louise.owen@thewomens.org.au.

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Presentation transcript:

Hot Topics in Neonatology Neonatal Respiratory Symposium Nasal High Flow Therapy – Evidence Base for Preterm Infants Dr Louise Owen, MD louise.owen@thewomens.org.au

Hot Topics in Neonatology Neonatal Respiratory Symposium Nasal High Flow Therapy – Evidence Base for Preterm Infants I have no financial relationships to disclose Dr Louise Owen, MD louise.owen@thewomens.org.au

Emergence of Neonatal nHF…

CPAP Isn’t the Answer for Everyone…

Emergence of Neonatal nHF…

nHF Delivery Devices

Nasal-HF Pre-2010

nHF Use in NICUs…

nHF Use in Australia + NZ (ANZNN)

nHF Cochrane Review 2011

nHF Mechanisms of Action…

nHF Mechanisms of Action…

nHF Mechanisms of Action…

nHF Mechanisms of Action…

nHF Mechanisms of Action…

nHF Mechanisms of Action…

nHF Mechanisms of Action…

nHF Mechanisms of Action…

Pressure Increases with Flow

Pressure Increases with Flow

Pressure Increases with Flow

Effect on End Expiratory Lung Volume…

Prong: Nostril Ratio

Distending Pressure from nHF

Early nHF Trials…

Cochrane Review nHF - 2016

Post Extubation: Pneumothorax

Post Extubation: Nasal Trauma

Post-Extubation: Duration of Support

nHF as Primary Respiratory Support

nHF as Primary Respiratory Support

nHF as Primary Respiratory Support

nHF as Primary Respiratory Support

nHF as Primary Respiratory Support

nHF as Primary Respiratory Support

nHF as Primary Respiratory Support

nHF as Primary Respiratory Support

Lavizzari – Outcomes

Roberts (HIPSTER) – Outcomes

Primary Support: Treatment Failure – ‘16

Primary Support: Treatment Failure - Now

Primary Support: Treatment Failure - Now

Primary Support: Pneumothorax

Primary Support: Pneumothorax

Primary Support: Nasal Trauma

Primary nHF vs. NIPPV

nHF as Primary Support - Summary

nHF as Primary Support - Summary

nHF as Primary Support - Summary

nHF as Primary Support - Summary

Do Non-tertiary SCNs use nHF?

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