La gestione dell’ossigenoterapia ad alti flussi in un ospedale pediatrico italiano: uno studio osservazionale

Simona Calza, Roberta Da Rin Della Mora, Elisabetta Costa, Fulvia Esibiti, Milvia Subbrero, Silvia Scelsi

Abstract

L’ossigenoterapia ad alti flussi (High Flow Oxygen Therapy, HFOT) è una metodica di supporto ventilatorio non invasivo in grado di erogare una miscela, umidificata e riscaldata, di aria e ossigeno attraverso cannule nasali non occludenti. Volendo ripensare la gestione infermieristica dell’HFOT ed in mancanza di dati circa la sua gestione nel paziente pediatrico assistito presso l’IRCCS Istituto Giannina Gaslini, è stato condotto uno studio per descrivere il fenomeno e per ottenere informazioni utili al miglioramento della qualità assistenziale.

Riferimenti bibliografici

Mayfield S, Bogossian F, O’Malley L, Schibler A. High-flow nasal cannula oxygen therapy for infants with bronchiolitis: Pilot study. J Paediatr Child Health 2014;50:373-378.

Daverio M, Bressan S, De Dalt L. Utilizzo degli alti flussi in pediatria. Prospettive in Pediatria 2016;46(182):104-112.

Sztrymf B, Messika J, Bertrand F, Hurel D, Leon R, Dreyfuss D, Ricard JD. Beneficial effects of humidified high flow nasal oxygen in critical care patients: a prospective pilot study. Intensive Care Med 2011;37:1780-1786.

Haq I, Gopalakaje S, Fenton AC, McKean MC, O’Brien CJ, Brodlie M. The evidence for high flow nasal cannula devices in infants. Paed Resp Rev 2014;15:124-131.

Lee JH, Rehder KJ, Williford L, Cheifetz IM, Turner DA. Use of high flow nasal cannula in critically ill infants, children, and adults: a critical review of the literature. Intensive Care Med 2013;39:247-257.

Mikalsen IB, Davis P, Øymar K. High flow nasal cannula in children: a literature review. SJTREM 2016;24(93):1-12.

Hutchings FA, Hiliard TN, Davis PJ. Heated humidified high flow nasal cannula therapy in children. Arch Dis Child 2015; 100:571-575.

Dysart K, Miller TL, Wolfson MR, Shaffer TH. Research in high flow therapy: mechanisms of action. Resp Med 2009;103:1400-1405.

Ciuffini F, Colnaghi M, Lavizzari A, Mercadante D, Musumeci S, Mosca F. La terapia con nasocannule ad alto flusso nel neonato pretermine. La Pediatria Medica e Chirurgica 2013; 35:118-124.

Ciuffini F, Pietrasanta C, Lavizzari A, Musumeci S, Gualdi C, Sortino S, Colnaghi M, Mosca F. Confronto tra due diverse modalità di assistenza ventilatoria non invasiva in neonati pretermine con sindrome da distress respiratorio lieve-moderata: dati preliminari. La Pediatria Medica e Chirurgica 2014;36:153-158.

Slain KN, Shein SL, Rotta AT. The use of high-flow nasal cannula in the pediatric emergency department. Jornal de Pediatria 2017;93(s1):36-45.

Helviz Y, Einav S. A systematic review of the high-flow nasal cannula for adult patients. Crit Care 2018;22(71):1-9.

Smith J, Swallow V & Coyne I. Involving parents in managing their child’s long-term condition—a concept synthesis of family-centered care and partnership-in-care. J Pediatr Nurs 2015;30:143–159.

Ogrinc G, Davies L, Goodman D, Batalden P, Davidoff F, Stevens D. SQUIRE 2.0 (Standards for Quality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process. BMJ Quality and Safety 2016;25:986-992.

Lynn MR. Determination and quantification of content validity. Nurs Res 1986;35(6):382-386.

Waltz CF, Strickland OL, Lenz ER. Measurement in nursing and health research (3rd ed.), New York: Springer Publishing Co, (2005).

Polit DF, Beck CT. The content validity index: are you sure you know what’s being reported? Critique and recommendations. Res Nurs Health 2006;29:489-497.

Murray JS, Williams LA, Pignataro S, Volpe D. An integrative review of pediatric early warning system scores. Ped Nurs 2015;41(4):165-174.

Silverman WA, Andersen DH. A controlled clinical trial of effects of water mist on obstructive respiratory signs, death rate and necropsy findings among premature infants. Pediatrics 1956;17(1):1-10.

Dillman DA. Mail and Internet Surveys: the Tailored Design Method (2nd ed.), New York: Wiley, 2000; 464.

Kesevan S, Ramachandran B Humidified high-flow nasal cannula oxygen therapy in children-A narrative review. J Ped Crit Care 2016;3(4):29-34.

Mayfield S, Jauncey-Cooke J, Hough JL, Schibler A, Gibbons K, Bogossian F. High flow nasal cannula therapy for respiratory support in children. Cochrane Database Syst Rev 2014;3:1-8.

Mayfield S, Jauncey-Cooke J, Schibler A., Hough J., Bogossian F. High flow nasal cannula for respiratory support in term infants. Cochrane Database Syst Rev 2014;3:1-8.

Caballero MT, Polack FP, Stein RT. Viral bronchiolitis in young infants: new perspectives for management and treatment. Jornal de Pediatria 2017; 93(1):75-83.

Kline J, Kalburgi S, Halley T. High flow nasal cannula therapy for bronchiolitis across the emergency department and acute care floor. Clin Pediatr Emerg 2018;1(1):40-45.

Daverio M, Da Dalt L, Panozzo M, Frigo .C, Bressan S A two-tiered high-flow nasal cannula approach to bronchiolitis was associated with low admission rate to intensive care and no adverse outcomes. Acta paediatrica 2019 108: 2056–2062.

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