High Flow Nasal Cannulas in NEWBORNS/// When to use them!!

In the NICU: CPAP has long been the gold-standard of NON-INVASIVE ventilation- but now we're all realizing HIGH FLOW NASAL CANNULAs are pretty great too! Watch this review and learn: What is a HFNC? How does it differ from a regular NC? Why are HFNCs great? Why are they better or worse than CPAP? What flow do we start it on? How do they work? What situations has HFNC proven to be helpful???

This is NOT sponsored- but A MASSIVE thanks to Kelsey Shaylor and all the WONDERFUL people at Fisher and Paykel for allowing us to use their educational slides, and providing us with every article ever written about non-invasive ventilation. Your efforts towards education are so impressive!
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Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.

References:

Yoder BA, Manley B, Collins C, Ives K, Kugelman A, Lavizzari A, McQueen M. Consensus approach to nasal high-flow therapy in neonates. J Perinatol. 2017 Jul;37(7):809-813. doi: 10.1038/jp.2017.24. Epub 2017 Mar 23. PMID: 28333157.

The evidence for high flow nasal cannula devices in infants
Iram Haq et al. Pediatric Respiratory Reviews 15 (2014) 124-134

Nasal High-Flow Therapy during Neonatal Endotracheal Intubation
Kate A. Hodgson, M.B., B.S., Louise S. Owen, M.D., C. Omar F. Kamlin, D.Med.Sci., Calum T. Roberts, Ph.D., Sophie E. Newman, M.B., B.S., Kate L. Francis, M.Biostat., Susan M. Donath, M.A., Peter G. Davis, M.D., and Brett J. Manley, Ph.D.
April 28, 2022 N Engl J Med 2022; 386:1627-1637
DOI: 10.1056/NEJMoa2116735

Lavizzari A, Colnaghi M, Ciuffini F, Veneroni C, Musumeci S, Cortinovis I, Mosca F. Heated, humidified high-flow nasal cannula vs nasal continuous positive airway pressure for respiratory distress syndrome of prematurity: a randomized clinical noninferiority trial. JAMA Pediatr. 2016;99:F315–20.

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***TIMESTAMPS***
02:19 What is a HFNC?
07:19 Why use a HFNC vs CPAP?
10:44 How does HFNC work?
19:41 In what situations do we use HFNC?
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*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.

[siobhanvargas]

Dr, I heard about your channel from the NICU team at the preemie party this year and this is amazing! I don’t know if you remember Bryston… he is about to be 5! He is still vent and trach and complex BUT such a hand full! Thank you for all your doing and thank you for everything you did with B!

[alisonthomas]

I am new to the neonatal ward coming from adult nursing in England UK. I love your content which is really helping me become more knowledgeable. Thank you!

[zubairqasimrashdi]

I am a pediatrician from Pakistan. Always learn something valuable from ur videos. Pure Brilliance.

[riham]

I'm so glad that I've found this channel as a new neonatology resident, you made a lot of things so easy to understand so thank you and keep up with the great work ❤

[jreamever]

As a NICU RRT, you did a phenomenal job, Doc. Thank you for your explanation. Especially, the intrinsic vs extrensic flow rate.

[sarahg]

As a nursing student, thank you so much for your videos! You explain things so well.

[mswats]

I just wanted to say thank you for all of your informative videos. I'm a mom of triplets born at 25+6 last July. My 2 girls spent 3 months in the NICU and my boy was there 4 months. I found your channel sometime during that time while they were in the hospital to try to learn about their medical conditions and now, almost a year later, I still watch to further understand their diagnoses/conditions and what all they went through. I learned so much during my 3-4 month "internship" at the hospital, but your lectures really make things clear. BTW, my babies are doing really well now considering how early they were born and being multiples. I owe it in part to the excellent care they received while in the NICU. Thank you for doing what you do!

[yjyegyc]

Thank you dr Tala, for what you are doing 🎉
Your efforts emprower our knowledge at distance of 13000 km from US.
Best wishes ❤

[madanat]

Wonderful as always, i really appreciate your effort in making neonatology smooth

[m.e.]

I appreciate the references to recent studies & research! Thank your for a much needed topic! What is your experience with Ramcannulas and CPAP and NIMV?

[Kingdomcome_podcast]

I love all your videos! I’d love to watch one on NIPPV

[wtfychg]

Great video! This was really helpful. RN and NRP instructor from Wyoming USA

[moseskafwabulula]

😂😂
The wall

The bike example was good

[hannaankudovich]

Thank you Dr Tala and the team! Extremely helpful channel for my residency journey!

[childhealth]

So competent and energetic. Keep creating stuff like this. Kudos 😊

[sarahp]

Another GREAT Tala Talk, thank you Dr. Tala!

[narmin]

Excellent! I am a resident in NICU. Could you please record a lecture about adrenal insufficiency in premies.

[ancyjoseph]

Hi really appreciate your excellent talks.
Can you talk about transposition of great arteries.
Diagnosis, X-ray reading and management etc.
Thank you

[Not_Juliana-rd]

As every time, a fruitful presentation ❤ thank you
Would you like to make hypotension and it’s actual management

[karimzaghloul]

Hello dr tala, thank you for your informative videos, can you please make a video about approach to feeding increments