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Humidified high flow nasal cannula (HHFNC) has gained popularity in neonatal care. A systematic review1 of the results of nine trials, which included a total of 1112 infants, however, demonstrated that HHFNC was not superior to other modes of non-invasive ventilation in infants of >28 weeks gestational age. We, therefore, sought to determine whether clinical practice regarding HHFNC had changed since 2012 when all UK units were surveyed2 and also to identify why practitioners preferred HHFNC or continuous positive airway pressure (CPAP).
In 2015, lead clinicians of all 194 UK neonatal units were identified from the National Neonatal Audit …
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