Primer On Use Of High Flow Nasal Cannula For Pediatric Bronchiolitis

Primer On Use Of High Flow Nasal Cannula For Pediatric Bronchiolitis by Sujit Iyer, MD As most emergency clinicians know, the care of children with respiratory illness is now at a crisis stage. Emergency departments are packed with children with viral illnesses and inpatient beds are in very short supply. This authoritative video will demonstrate the latest techniques for the use of the high-flow nasal cannula in children who are hypoxic secondary to respiratory viruses and it is hoped that the care of these children will be significantly facilitated. 00:00: Intro 1:40: What is High Flow Nasal Cannula (HFNC) 2:21: High flow nasal cannula equipment parts 3:16: Disposable Equipment for HFNC setup 4:03: Cannula sizing and flow 4:44: HFNC Setup (putting parts together) 6:39: Key tips to securing prongs to an infant face 8:52: Using the HFNC blender 9:16: Using the HFNC heater 10:30: Using the HFNC Flowmeter 11:52: Do’s, don’ts and understanding HFNC initiation 15:24: Goals when starting and using HFNC 17:25: Feeding a child on HFNC 20:00: Troubleshooting a drop in O2 sats 21:46: HFNC flow rates and HFNC holidays for prolonged ED stay 26:41: When does a child no longer need HFNC 28:59: Sample of a HFNC weaning algorithm 32:41: Red flags from a PICU perspective and HFNC escalation 37:33: Top tips from a PICU physician on a sick child with bronchiolitis 40:36: Thoughts on using BIPAP in pediatric bronchiolitis 44:01: Thank you and closing #nasalcannula #rsv #pediatric