Skip to main content
Log in

Nasale High-Flow-Therapie in der Neonatologie

High-flow nasal cannula therapy in neonates

  • Leitthema
  • Published:
Der Pneumologe Aims and scope

Zusammenfassung

Die nasale High-Flow-Therapie hat als Form der nichtinvasiven Atemhilfe in den letzten Jahren in der Betreuung neonatologischer Patienten einen immer größer werdenden Stellenwert erreicht und stellt bei bestimmten Indikationen bereits eine Alternative zur nasalen CPAP-Beatmung („continuous positive airway pressure“) dar. Diese Übersichtsarbeit soll über die Technik, Indikationen, aktuelle Studienlage und über Vor- und Nachteile in Bezug auf etablierte Methoden informieren.

Abstract

In recent years the use of a high-flow nasal cannula as a form of non-invasive respiratory support in the care of neonatal patients has played an increasingly more important role and already provides an alternative to nasal continuous positive airway pressure (CPAP) ventilation for certain indications. This article reviews the technique, indications, current study situation and the advantages and disadvantages in relation to established methods.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2
Abb. 3

Literatur

  1. Dysart K, Miller TL, Wolfson MR, Shaffer TH (2009) Research in high flow therapy: Mechanism of action. Respir Med 103(10):1400–1405

    Article  PubMed  Google Scholar 

  2. Sreenan C, Lemke RP, Hudson-Mason A et al (2001) High-flow nasal cannulae in the management of apnea of prematurity: a comparison with conventional nasal continuous positive airway pressure. Pediatrics 107:1081–1083

    Article  CAS  PubMed  Google Scholar 

  3. Wilkinson DJ, Andersen CC, Smith K et al (2008) Pharyngeal pressure with high-flow nasaö cannulae in premature infants. J Perinatol 28:42–47

    Article  CAS  PubMed  Google Scholar 

  4. Lampland AL, Plumm B, Meyers PA et al (2009) Observational study of humidified high-flow nasal cannula compared with nasal continuous positive airway pressure. J Pediatr 154:177–182

    Article  PubMed  Google Scholar 

  5. Jasin LR, Kern S, Thompson S et al (2008) Subcutaneous scalp emphysema, pneumo-orbitis and pneumocephalus in a neonate on high humidity high flow nasal cannula. J Perinatol 28:779–781

    Article  CAS  PubMed  Google Scholar 

  6. Hepping N, Garbe W, Schneider K (2015) High-flow nasal cannulae in neonates: A survey of current practice in level 1 perinatal centres in the german state of Northrhine-Westphalia. Z Geburtshilfe Neonatol 6:253–258

    Google Scholar 

  7. Manley BJ, Dold SK, Davis PG, Roehr CC (2012) High-flow nasal cannulae for respiratory support of preterm infants: A review of the evidence. Neonatology 102:300–308

    Article  PubMed  Google Scholar 

  8. Hough JL, Shearman AD, Jardine LA, Davies MW (2012) Humified high flow nasal cannulae: Current practice in Australasian nurseries, a survey. J Paediatr Child Health 48(2):106–113

    Article  PubMed  Google Scholar 

  9. Ojha S, Gridley E, Dorlin J (2013) Use of heated huminfied high-flow nasal cannula oxygen in neonates: a UK wide survey. Acta Paediatr 102(3):249–253

    Article  PubMed  Google Scholar 

  10. Abdel-Hady H, Shouman B, Aly H (2011) Early weaning from CPAP to high flow nasal cannula in preterm infants is associated with prolonged oxygen requirement: a randomized controlled trial. Early Hum Dev 87:205–208

    Article  PubMed  Google Scholar 

  11. Iranpour R, Sadeghnia A, Hesaraki M (2011) High-flow nasal cannula versus nasal continuous positive airway pressure in the management of respiratory distress syndrome. J Isfahan Med School 29:761–771

    Google Scholar 

  12. Campbell DM, Shah PS, Shah V et al (2006) Nasal continuous positive airway pressure from high flow cannula versus infant flow for preterm infants. J Perinatol 26:546–549

    Article  CAS  PubMed  Google Scholar 

  13. Manley BJ, Owen LS, Doyle LW et al (2013) High-flow nasal cannulae in very preterm infants after extubation. N Engl J Med 369:1425–1433

    Article  CAS  PubMed  Google Scholar 

  14. Yoder BA, Stoddard RA, Li M et al (2013) Heated, humified high-flow nasal cannula versus nasal CPAP for respiratory support in neonates. Pediatrics 131(5):e1482–90

    Article  PubMed  Google Scholar 

  15. Kugelman A, Riskin A, Said W et al (2014) A randomized pilot study comparing heated humified high-flow nasal cannulae with NIPPV for RDS. Pediatr Pulmonol 50(6):576–583

    Article  PubMed  Google Scholar 

  16. Hegde D, Mondkar J, Panchal H et al (2015) Heated huminified high flow nasal cannula versus nasal continuous positive airway pressure as primary mode of respiratory support for respiratory distress in preterm infants. Indian Pediatr 52(12):129–133

    Google Scholar 

  17. Klingenberg C, Pettersen M, Hansen EA et al (2014) Patient comfort during treatment with heated humidified high flow nasal cannulae versus nasal continuous positive airway pressure: a randomised cross-over trial. Arch Dis Child Fetal Neonatal Ed 99(2):F134–7

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to N. Hepping.

Ethics declarations

Interessenkonflikt

N. Hepping, W. Garbe und K. Schneider geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

Additional information

Redaktion

O. Karg, Gauting

M. Rose, Frankfurt

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hepping, N., Garbe, W. & Schneider, K. Nasale High-Flow-Therapie in der Neonatologie. Pneumologe 13, 396–399 (2016). https://doi.org/10.1007/s10405-016-0064-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10405-016-0064-z

Schlüsselwörter

Keywords

Navigation