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Archives de pédiatrie
Volume 26, n° 3
pages 174-175 (avril 2019)
Doi : 10.1016/j.arcped.2019.02.002
Received : 15 May 2018 ;  accepted : 3 February 2019
Shorts Communication

High-flow nasal cannula use for bronchiolitis treatment in French intensive care units: A transversal study
 

P. Wolf a, A. Bridier a, L. Josseran b, c, B. Mbieleu a, W. Hammami a, J. Bergounioux a, c,
a Pediatric intensive care unit, hôpital Raymond-Poincaré, AP–HP, 104, boulevard Raymond-Poincaré, 92370 Garches, France 
b Epidemiology department, hôpital Raymond-Poincaré, AP–HP, 104, boulevard Raymond-Poincaré, 92370 Garches, France 
c Versailles Saint-Quentin University, UFR des sciences de la santé Simone Veil, 2, avenue de la source de la Biévre, 78180 Montigny le Bretonneux, France 

Corresponding author at: réanimation et soins intensifs pédiatriques, hôpital universitaire Raymond-Poincaré, AP–HP, batiment Letulle, 3e étage, 104, boulevard Raymond-Poincaré, 92380 Garches, France.réanimation et soins intensifs pédiatriques, hôpital universitaire Raymond-Poincaré, AP–HPbatiment Letulle, 3e étage, 104, boulevard Raymond-PoincaréGarches92380France
Abstract

Over the past 10 years, continuous positive airway pressure (CPAP) has revolutionized the prognosis and management of bronchiolitis patients hospitalized in pediatric intensive care units (PICUs). High-flow nasal cannula (HFNC) is emerging as an alternative to CPAP. Despite encouraging results of several clinical and physiological studies, HFNC use remains controversial and its indications heterogeneous. To better define the place of HFNC in severe bronchiolitis respiratory support, we investigated the different ventilation assistance techniques used for severe bronchiolitis over 3 days at the peak of a bronchiolitis epidemic in December 2015. We conducted an observational cross-sectional study in 27 French university hospital PICUs. Fifty-nine patients were included. The results show that HFNC already accounts for nearly half of the respiratory support techniques used for severe bronchiolitis in French PICUs with no significant difference between the CPAP group and the HFNC group of patients.

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Keywords : Bronchiolitis, Pediatric intensive care, Noninvasive ventilation, High-flow ventilation, Pediatrics




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