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RESEARCH PRODUCT

Nurses' experiences by using heated humidified high flow cannula to premature infants versus nasal continuous positive airway pressure

Berit JohannessenHelene Engesland

subject

Neonatal intensive care unitbusiness.industrymedicine.medical_treatmentmedicine.disease_causePediatricsCannulalaw.invention03 medical and health sciences0302 clinical medicinelaw030225 pediatricsAnesthesiaVentilation (architecture)medicine030212 general & internal medicineContinuous positive airway pressureHigh flowbusinessNasal cannula

description

Abstract Background Some premature infants are now being treated with heated humidified high flow nasal cannula (HHHFNC) instead of nasal continuous positive airway pressure (nCPAP). Purpose To explore nurses' experiences of using HHHFNC compared with nCPAP for premature infants. Method Six qualitative in-depth interviews were completed with nurses at two different newborn intensive care units. Results Preterm infants showed greater satisfaction with HHHFNC than nasal continuous positive airway pressure. HHHFNC was also associated with fewer pressure injuries and less facial discomfort, and an increased bonding between baby and parent. However, HHHFNC gave less ventilation support than nCPAP. Conclusion Whenever clinically possible, premature infants should be placed on HHHFNC because, compared to nCPAP, it results in less pressure related injuries, provides the most comfort and allows increased interaction between the parents and infant.

yearjournalcountryeditionlanguage
2016-02-01Journal of Neonatal Nursing
https://doi.org/10.1016/j.jnn.2015.05.005