Acta Medica Okayama 73巻 1号
2019-02 発行

High-flow Nasal Cannula Versus Noninvasive ventilation for Postextubation Acute Respiratory Failure after Pediatric Cardiac Surgery

Shioji, Naohiro Department of Anesthesiology and Resuscitology, Okayama University Hospital
Kanazawa, Tomoyuki Department of Anesthesiology and Resuscitology, Okayama University Hospital
Iwasaki, Tatsuo Department of Anesthesiology and Resuscitology, Okayama University Hospital
Shimizu, Kazuyoshi Department of Anesthesiology and Resuscitology, Okayama University Hospital
Suemori, Tomohiko Department of Anesthesiology and Resuscitology, Okayama University Hospital
Kuroe, Yasutoshi Department of Anesthesiology and Resuscitology, Okayama University Hospital
Morimatsu, Hiroshi Department of Anesthesiology and Resuscitology, Okayama University Hospital
Publication Date
2019-02
Abstract
We compared the reintubation rate in children who received high-flow nasal cannula (HFNC) therapy to the rate in children who received noninvasive ventilation (NIV) therapy for acute respiratory failure (ARF) after cardiac surgery. This was a retrospective analysis of 35 children who received HFNC therapy for ARF after cardiac surgery in 2014-2015 (the HFNC group). We selected 35 children who had received NIV therapy for ARF after cardiac surgery in 2009-2012 as a control group. The matching parameters were body weight and risk adjustment for congenital heart surgery category 1. The reintubation rate within 48 h in the HFNC group tended to be lower than that in the NIV group (3% vs. 17%, p=0.06). The reintubation rate within 28 days was significantly lower in the HFNC group compared to the NIV group (3% vs. 26%, p=0.04). The HFNC group’s ICU stays were significantly shorter than those of the NIV group: 10 (IQR: 7-17) days vs. 17 (11-32) days, p=0.009. HFNC therapy might be associated with a reduced reintubation rate in children with ARF after cardiac surgery.
Document Type
Original Article
Keywords
high-flow nasal cannula
noninvasive ventilation
reintubation
congenital heart disease
acute respiratory failure
Link to PubMed
Thumnail 73_1_15.pdf 1.93 MB