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Contributing Consultants
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Disclosure Statement
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Objectives
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Why Do We Need Guidelines?
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Why Do We Need Practice Guidelines?
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What Are We Currently Doing?
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Changing Pattern of Respiratory Support in the Neonatal ICU
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Days Respiratory Support Mode By EGA All Days, All Patients, All Years (excludes RA)
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HFNC Use in Japan Motojima et al, Peds International 2016
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HFNC Use in Japan Motojima et al, Peds International 2016
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HFNC Use in New Zealand/Australia Roberts CT et al, ADCFNE 2015
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HFNC Use in New Zealand/Australia Roberts CT et al, ADCFNE 2015
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HFNC – Approach in the UK Shetty S et al, ADCFNE 2016
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HFNC – Approach in the UK Shetty S et al, ADCFNE 2016
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Consensus Guidelines
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Consensus Recommendations Respiratory Problems
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Neonatal HFNC RCT’s
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HFNC for Neonatal Respiratory Support
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Indications for nHFT
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Indications for nHFT
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Indications for nHFT
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Indications for nHFT Caveats
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Indications for nHFT Caveats
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Indications for nHFT Caveats
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Indications for nHFT Caveats
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Issues in Clinical Care
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Developing “Consensus” for HFNC
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Important Starting Point
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Initial Set-up
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Management of Flow Rate
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Management of HHHFNC Therapy
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What Criteria Do You Use in Initiating HHHFNC Therapy in Neonates?
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Initiation of HHHFNC Therapy
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Consensus Recommendations Initiating High Flow
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Consensus Recommendations Initiating High Flow
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Consensus Recommendations Initiating High Flow
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What Criteria Do You Use in Escalating HHHFNC Therapy in Neonates?
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Consensus Recommendations Escalating High Flow
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Consensus Recommendations Escalating High Flow
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Consensus Recommendations Escalating High Flow
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Consensus Recommendations Escalating High Flow
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What Criteria Do You Use in Weaning HHHFNC Therapy In Neonates?
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Consensus Recommendations Weaning High Flow
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Consensus Recommendations Weaning High Flow
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Consensus Recommendations Weaning High Flow
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Stopping HHHFNC Therapy
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Consensus Recommendations Discontinuing High Flow
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Consensus Recommendations Discontinuing High Flow
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Consensus Recommendations Discontinuing High Flow
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Summary
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Future Studies
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