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Contributing Consultants

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Presentation on theme: "Contributing Consultants"— Presentation transcript:

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2 Contributing Consultants

3 Disclosure Statement

4 Objectives

5 Why Do We Need Guidelines?

6 Why Do We Need Practice Guidelines?

7 What Are We Currently Doing?

8 Changing Pattern of Respiratory Support in the Neonatal ICU

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

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11 HFNC Use in Japan Motojima et al, Peds International 2016

12 HFNC Use in Japan Motojima et al, Peds International 2016

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

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

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

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

18 Consensus Guidelines

19 Consensus Recommendations Respiratory Problems

20 Neonatal HFNC RCT’s

21 HFNC for Neonatal Respiratory Support

22 Indications for nHFT

23 Indications for nHFT

24 Indications for nHFT

25 Indications for nHFT Caveats

26 Indications for nHFT Caveats

27 Indications for nHFT Caveats

28 Indications for nHFT Caveats

29 Issues in Clinical Care

30 Developing “Consensus” for HFNC

31 Important Starting Point

32 Initial Set-up

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34 Management of Flow Rate

35 Management of HHHFNC Therapy

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

37 Initiation of HHHFNC Therapy

38 Consensus Recommendations Initiating High Flow

39 Consensus Recommendations Initiating High Flow

40 Consensus Recommendations Initiating High Flow

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

42 Consensus Recommendations Escalating High Flow

43 Consensus Recommendations Escalating High Flow

44 Consensus Recommendations Escalating High Flow

45 Consensus Recommendations Escalating High Flow

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

47 Consensus Recommendations Weaning High Flow

48 Consensus Recommendations Weaning High Flow

49 Consensus Recommendations Weaning High Flow

50 Stopping HHHFNC Therapy

51 Consensus Recommendations Discontinuing High Flow

52 Consensus Recommendations Discontinuing High Flow

53 Consensus Recommendations Discontinuing High Flow

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56 Summary

57 Future Studies

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