Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena
| Thesis Title | High flow Oxygen therapy in preterm infants and children younger than two years |
|---|---|
| Name | Totolici Teodora |
| Supervisor(s) | Monti Cinzia, Cavaleri Rosalba |
| Academic Year | 2018/19 |
| Thesis type | Non research thesis |
Abstract
BACKGROUND: Every year, numerous children younger than two years esperience respiratory diseases that could lead to complications, such as distress and respiratory failure. One of these pathologie, present mostly in newborns and infants, is bronchiolitis. The latter can be solved spontaneously, but in most serious cases it could lead the child to conditions such as to require non-invasive mechanical ventilation. One of the methods that has proven effective in recent years is high flow nasal cannula (HFNC), which is able to improve gas exchange and reduce respiratory work.
METHOD: Bibliographic research on the main databases such as Google
Scholar, UpToDate, Cochrane Library, PubMed, National Institute for Health and Care Excellence, Health Evidence, Nursing Reference Plus, Cinahl, using keywords such as "high flow nasal cannula, newborn, preterm, infant, bronchiolitis, parents, family care".
OBJECTIVE: Find scientific evidence demonstrating the effectiveness of this method, guidelines for clinical practice, strategies to avoid complications. RESULTS: The studies have shown that high flow nasal cannula is a type of open circuit ventilatory support, safe, non-invasive and well tolerated. It offer numerous advantages over invasive ventilation, comparable to CPAP.
CONCLUSIONS: HFNC not only improves the respiratory insufficiency, but also allows to reduce the rate of intubatition in children suffering from bronchiolitis. The circuit and te interface are manageable and allow easier work for the nurse, who has the role of continously monitoring the state of the child and his clinical signs. This type of ventiltion has very low cost and, moreover, it does not act as a barrier between the child and his family.