Use of High-Flow Nasal Cannulas in Saudi's Neonatal Level III Intensive Care Units: A Nationwide Questionnaire Study.

IF 1.4 Q3 PEDIATRICS Global Pediatric Health Pub Date : 2024-06-06 eCollection Date: 2024-01-01 DOI:10.1177/2333794X241258142

Saleh S Algarni, Khalid Alshammari, Meshal Alkhalifah, Waleed Almutairi, Abdulrahman Aljaidi, Arwa Alruwaili, Abdulkarim S Alqarni, Tareq F Alotaibi, Mohammed M Alqahtani, Hassan Aljohani, Taha T Ismaeil, Abdullah M M Alanazi, Abdulrhman S Alghamdi, Khaled Alanazi, Khalid S Alwadeai, Rayan Siraj, Turki M Alanazi, Ali Almudeer, Kamal Ali, Saif Alsaif

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Abstract

Objective. To describe heated humidified high-flow nasal cannulas (HHHFNC) utilization in level III neonatal intensive care units (NICUs) in Saudi Arabia. Methods. A prospective cross-sectional study using an electronic web-based questionnaire. The survey targeted level III NICUs hospitals using HHHFNCs, covering HHHFNC availability, protocols, patient characteristics, and indications. It also collected opinions on the benefits of HHHFNCs compared to nasal continuous positive airway pressure (nCPAP). Results. Out of 47 government-level III neonatal intensive care units, 35 (74%) responded to the survey. Among the included units, 46% had guidelines for HHHFNC use. Additionally, 51% reported using HHHFNC in infants of all gestational ages. The primary indication for HHHFNC use was weaning off nCPAP (34%), with 60% of the respondents noting its advantages for kangaroo care and breastfeeding. Conclusion. HHHFNC are increasingly prevalent in NICUs in Saudi Arabia. However, there remain no clear policies or guidelines regarding their use in preterm infants.

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沙特新生儿三级重症监护病房高流量鼻导管的使用情况：一项全国性问卷调查研究。

目的描述沙特阿拉伯三级新生儿重症监护病房（NICU）中加热加湿高流量鼻插管（HHHFNC）的使用情况。研究方法。采用电子网络问卷进行前瞻性横断面研究。调查对象为使用 HHHFNC 的三级新生儿重症监护病房医院，内容包括 HHHFNC 的可用性、协议、患者特征和适应症。调查还就 HHHFNC 与鼻持续气道正压（nCPAP）相比的优势收集了意见。结果。在 47 家政府三级新生儿重症监护病房中，有 35 家（74%）对调查做出了回应。其中，46%的单位制定了使用 HHHFNC 的指南。此外，51%的单位表示对所有胎龄的婴儿都使用过 HHHFNC。使用 HHHFNC 的主要适应症是 nCPAP 断奶（34%），60% 的受访者指出其在袋鼠式护理和母乳喂养方面的优势。结论。HHHFNC 在沙特阿拉伯的新生儿重症监护室越来越普遍。但是，对于早产儿使用 HHHFNC 仍没有明确的政策或指导方针。

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