2012 | 2015 | p Value | |
---|---|---|---|
HHFNC | |||
Total number of units | 203 | 194 | |
Using HHFNC | 113 (56%) | 169 (87%) | <0.001 |
Unit level | |||
Special care unit | 12/53 (23%) | 22/42 (52%) | 0.003 |
Local neonatal unit | 60/92 (64%) | 84/88 (95%) | <0.001 |
Neonatal intensive care unit | 41/58 (70%) | 63/64 (98%) | <0.001 |
Data are subsequently displayed only for units using HHFNC | |||
Indication of use | |||
Alternative to CPAP/weaning from CPAP | 66 (58%) | 65 (38%) | 0.001 |
Primary mode of respiratory support post extubation | 47 (42%) | 104 (62%) | 0.001 |
Highest flow rate | |||
8 | 36 (32%) | 78 (46%) | 0.011 |
7 | 12 (11%) | 6 (4%) | 0.017 |
6 | 38 (34%) | 77 (46%) | 0.030 |
5 | 27 (23%) | 8 (4%) | <0.001 |
Lowest flow rate | |||
4 | 11 (10%) | 18 (11%) | 0.485 |
3 | 40 (35%) | 40 (24%) | 0.023 |
2 | 45 (40%) | 97 (57%) | 0.003 |
1 | 17 (15%) | 14 (8%) | 0.058 |
Size of change in flow when weaning (L/min) | |||
0.5 | 30 (27%) | 51 (30%) | 0.301 |
1 | 38 (34%) | 58 (35%) | 0.504 |
0.5–1 | 45 (40%) | 60 (36%) | 0.271 |
Time between changes in flow rates | |||
24 hourly | 79 (47%) | ||
24–48 hourly | 21 (12%) | ||
48 hourly | 17 (10%) | ||
Depends on the infant's condition | 52 (31%) | ||
Prong size | |||
Snug fit to occlude the nostril | 42 (25%) | ||
Prong size selected to allow air leak | 127 (75%) | ||
Guideline/policy | |||
Yes | 108 (64%) |
CPAP, continuous positive airway pressure; HHFNC, humidified high flow nasal cannula.