Primer On Use Of High Flow Nasal Cannula For Pediatric Bronchiolitis

Primer On Use Of High Flow Nasal Cannula For Pediatric Bronchiolitis by Sujit Iyer, MD

As most emergency clinicians know, the care of children with respiratory illness is now at a crisis stage. Emergency departments are packed with children with viral illnesses and inpatient beds are in very short supply.

This authoritative video will demonstrate the latest techniques for the use of the high-flow nasal cannula in children who are hypoxic secondary to respiratory viruses and it is hoped that the care of these children will be significantly facilitated.

00:00: Intro
1:40: What is High Flow Nasal Cannula (HFNC)
2:21: High flow nasal cannula equipment parts
3:16: Disposable Equipment for HFNC setup
4:03: Cannula sizing and flow
4:44: HFNC Setup (putting parts together)
6:39: Key tips to securing prongs to an infant face
8:52: Using the HFNC blender
9:16: Using the HFNC heater
10:30: Using the HFNC Flowmeter
11:52: Do’s, don’ts and understanding HFNC initiation
15:24: Goals when starting and using HFNC
17:25: Feeding a child on HFNC
20:00: Troubleshooting a drop in O2 sats
21:46: HFNC flow rates and HFNC holidays for prolonged ED stay
26:41: When does a child no longer need HFNC
28:59: Sample of a HFNC weaning algorithm
32:41: Red flags from a PICU perspective and HFNC escalation
37:33: Top tips from a PICU physician on a sick child with bronchiolitis
40:36: Thoughts on using BIPAP in pediatric bronchiolitis
44:01: Thank you and closing

#nasalcannula #rsv #pediatric