PMID- 31556700 OWN - NLM STAT- MEDLINE DCOM- 20200528 LR - 20200528 IS - 1938-2707 (Electronic) IS - 0009-9228 (Linking) VI - 58 IP - 14 DP - 2019 Dec TI - Short-Term High-Flow Nasal Cannula for Moderate to Severe Bronchiolitis Is Effective in a General Pediatric Ward. PG - 1522-1527 LID - 10.1177/0009922819877881 [doi] AB - We examined the clinical and physiological benefits of heated humidified high-flow nasal cannula (HHHFNC) in treating pediatric bronchiolitis in a general pediatric ward. Children aged 0 to 2 years, hospitalized with moderate to severe bronchiolitis, were connected to HHHFNC. Each child was evaluated at 4- to 10-hour intervals, both on and off the device, using the Wang et al Bronchiolitis Severity score and transcutaneous CO(2) monitor. Sixteen children were included in the final analysis. The Bronchiolitis Severity score improved by 3 points during the first and second intervals (P = .001). Transcutaneous CO(2) values were reduced by an average 8.7 mm Hg (P = .001). No adverse effects were noted in children connected to the device. The HHHFNC device used in a general pediatric ward setting served as a safe and efficacious tool in treating moderate to severe bronchiolitis. Immediate clinical and physiological improvement was observed and maintained 1 to 4 hours after disconnection from the device. FAU - Sachs, Nimrod AU - Sachs N AUID- ORCID: 0000-0003-4811-689X AD - Schneider Children's Medical Center, Petah Tikva, Israel. AD - Tel-Aviv University, Tel Aviv, Israel. FAU - Rom, Eran AU - Rom E AD - Schneider Children's Medical Center, Petah Tikva, Israel. AD - Tel-Aviv University, Tel Aviv, Israel. FAU - Schonfeld, Tommy AU - Schonfeld T AD - Schneider Children's Medical Center, Petah Tikva, Israel. FAU - Gavish, Rachel AU - Gavish R AD - Schneider Children's Medical Center, Petah Tikva, Israel. AD - Tel-Aviv University, Tel Aviv, Israel. FAU - Berger, Itay AU - Berger I AD - Schneider Children's Medical Center, Petah Tikva, Israel. FAU - Krause, Irit AU - Krause I AD - Schneider Children's Medical Center, Petah Tikva, Israel. AD - Tel-Aviv University, Tel Aviv, Israel. LA - eng PT - Journal Article DEP - 20190926 PL - United States TA - Clin Pediatr (Phila) JT - Clinical pediatrics JID - 0372606 SB - IM MH - Administration, Intranasal MH - Bronchiolitis/*physiopathology/therapy MH - Catheters MH - Child MH - Female MH - Hospitals, Pediatric MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - Noninvasive Ventilation/*methods MH - Oxygen Inhalation Therapy/*methods MH - Treatment Outcome OTO - NOTNLM OT - bronchiolitis OT - bronchiolitis score OT - heated humidified high-flow nasal cannula OT - pediatric OT - transcutaneous CO2 EDAT- 2019/09/27 06:00 MHDA- 2020/05/29 06:00 CRDT- 2019/09/27 06:00 PHST- 2019/09/27 06:00 [pubmed] PHST- 2020/05/29 06:00 [medline] PHST- 2019/09/27 06:00 [entrez] AID - 10.1177/0009922819877881 [doi] PST - ppublish SO - Clin Pediatr (Phila). 2019 Dec;58(14):1522-1527. doi: 10.1177/0009922819877881. Epub 2019 Sep 26.