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.
Literatur
Dysart K, Miller TL, Wolfson MR, Shaffer TH (2009) Research in high flow therapy: Mechanism of action. Respir Med 103(10):1400–1405
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
Wilkinson DJ, Andersen CC, Smith K et al (2008) Pharyngeal pressure with high-flow nasaö cannulae in premature infants. J Perinatol 28:42–47
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Author information
Authors and Affiliations
Corresponding author
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
About this article
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
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10405-016-0064-z