The effects of weaning protocol implementation from High Flow Nasal Cannula in NICU at Bangsaphan Hospital
Keywords:
weaning, HFNC, protocol, Hospital LOS, NICU LOSAbstract
Background : Use of High Flow Nasal Cannula (HFNC) is increasing in the neonatal intensive care unit (NICU), but there is no established consensus on how to wean neonates from HFNC support.
Objective : This study aimed to create an efficient and safe protocol for weaning high-flow nasal cannula.
Methods : Neonates treated in the NICU with high-flow nasal cannula from to October 2020 – August 2021. 163 patients in the pre-protocol group and 163 patients in the post protocol group were compared before and after implementation of the weaning protocol. Weaning data was collected prospectively post protocol implementation and clinical data including : duration of High flow nasal and oxygen support, NICU and hospital LOS, rate of failure weaning.
Results : Using independent t-test comparing the pre- and post-weaning protocol groups showed significant differences between the pre- and post-protocol groups in duration of HFNC use (93.0 ± 57.0 vs 38.5±28.4 ), NICU length of stay (7.6±7.2 vs 3.9±3.0 ), hospital length of stay (12.0±6.9 vs 5.9±3.6 ) and there is no increased incidence of weaning failure.
Conclusion : Implementation of our HFNC weaning protocol was associated with shorter duration of HFNC, NICU LOS, Hospital LOS, oxygen support
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