Jump to content


Want to join the discussions?

Sign up for a free membership!

If you are聽a member already, log in!

(lost your password?聽reset it here)

99nicu.org 99nicu.org

Nasal HFO Experience


Recommended Posts

Hello everyone,

We have recently taken delivery of SLE6000s and with them the ability to deliver nasal HFO. I would be extremely grateful to hear from anyone who has experiences of its use, any issues, the type of respiratory physiology it suits, size of infants etc.聽

Many thanks聽

Al 馃槉馃槉

  • Like 3
Link to comment
Share on other sites

  • 2 weeks later...

Starting in the end of 2020 we use nasal HFO especially in VLBW preterms after or to reach first extubation and continue it untill they reach 21% and 7cmH2O MAP.

We've also had good - but not controlled ;)聽- experience using it for deteriorated apnoe-bradycardia in 2-3 week old premies.

Equipment is聽Dr盲ger聽Babylog庐聽VN800 /VN500.

  • Like 3
  • Thanks 1
Link to comment
Share on other sites

  • 2 weeks later...

Dear Ali

Nasal HFO is a wonderful thing. We use it for almost a decade now and we have particular experience in treating late preterm infants with nHFO.

The most important (and practical relevant) points in a nutshell:

聽聽聽聽聽聽聽聽 nHFO is not a minor form of invasive HFO, but an empowered form of CPAP

聽聽聽聽聽聽聽聽 as in invasive HFO, oxygenation und ventilation can managed almost separately

聽聽聽聽聽聽聽聽 in nHFO oxygenation is provided by CPAP and PEEP (oxygenation hardly ever gets much better by nHFO)

聽聽聽聽聽聽聽聽 But there is an important improvement of ventilation in nHFO (please measure pCO2 carefully while using nHFO to prevent hyperventilation)

聽聽聽聽聽聽聽聽 In nHFO amplitude is not that important to steer ventilation as it is in invasive HFO (the transmission of pressure to the airways is limited). In contrast frequency has a relevant impact on ventilation (lowering the frequency improves CO2 washout)

So whenever you have a newborn on CPAP that has respiratory acidosis with high levels of CO2 while oxygenation is more or less ok (e.g. sepsis, post extubation, post INSURE, etc.), nHFO will be very helpful and may prevent the Baby from getting intubated.

We use the medinCNO庐 since this is basically a perfect CPAP-device, which also provides nHFO (and synchronised NIPPV).

  • Like 1
  • Thanks 1
Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
  • Create New...