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Presentation transcript:

Contributing Consultants

Disclosure Statement

Objectives

Why Do We Need Guidelines?

Why Do We Need Practice Guidelines?

What Are We Currently Doing?

Changing Pattern of Respiratory Support in the Neonatal ICU

Days Respiratory Support Mode By EGA All Days, All Patients, All Years (excludes RA)

HFNC Use in Japan Motojima et al, Peds International 2016

HFNC Use in Japan Motojima et al, Peds International 2016

HFNC Use in New Zealand/Australia Roberts CT et al, ADCFNE 2015

HFNC Use in New Zealand/Australia Roberts CT et al, ADCFNE 2015

HFNC – Approach in the UK Shetty S et al, ADCFNE 2016

HFNC – Approach in the UK Shetty S et al, ADCFNE 2016

Consensus Guidelines

Consensus Recommendations Respiratory Problems

Neonatal HFNC RCT’s

HFNC for Neonatal Respiratory Support

Indications for nHFT

Indications for nHFT

Indications for nHFT

Indications for nHFT Caveats

Indications for nHFT Caveats

Indications for nHFT Caveats

Indications for nHFT Caveats

Issues in Clinical Care

Developing “Consensus” for HFNC

Important Starting Point

Initial Set-up

Management of Flow Rate

Management of HHHFNC Therapy

What Criteria Do You Use in Initiating HHHFNC Therapy in Neonates?

Initiation of HHHFNC Therapy

Consensus Recommendations Initiating High Flow

Consensus Recommendations Initiating High Flow

Consensus Recommendations Initiating High Flow

What Criteria Do You Use in Escalating HHHFNC Therapy in Neonates?

Consensus Recommendations Escalating High Flow

Consensus Recommendations Escalating High Flow

Consensus Recommendations Escalating High Flow

Consensus Recommendations Escalating High Flow

What Criteria Do You Use in Weaning HHHFNC Therapy In Neonates?

Consensus Recommendations Weaning High Flow

Consensus Recommendations Weaning High Flow

Consensus Recommendations Weaning High Flow

Stopping HHHFNC Therapy

Consensus Recommendations Discontinuing High Flow

Consensus Recommendations Discontinuing High Flow

Consensus Recommendations Discontinuing High Flow

Summary

Future Studies