The High-flow Nasal Cannula Practices of Pediatric Intensive Care and Pediatric Emergency Specialists in Turkey
Yıl: 2022 Cilt: 9 Sayı: 3 Sayfa Aralığı: 162 - 167 Metin Dili: İngilizce DOI: 10.4274/cayd.galenos.2021.49091 İndeks Tarihi: 14-05-2023
The High-flow Nasal Cannula Practices of Pediatric Intensive Care and Pediatric Emergency Specialists in Turkey
Öz: Introduction: To date, no consensus has been reached on the start, monitoring and termination methods for high-flow nasal cannula oxygen (HFNC) treatment in children. Therefore the aim of this study was to evaluate the HFNC practices of pediatric emergency and pediatric intensive care specialists in Turkey. Methods: A total of 85 pediatric emergency and pediatric intensive care specialists from 22 cities participated in this questionnaire study. The questionnaire consisted of 20 items related to HFNC indications, complications, preferred settings, follow-up and weaning methods. Results: To start HFNC, 22.4% of the respondents reported using a scoring system. It was reported with FiO2 >50% by 57.6% and <50% by 42.4% of the respondents. The decision to terminate HFNC was stated to be based on a scoring system by 31.7%. It was stated by 91.8% of respondents that HFNC treatment was terminated by reducing the flow, and 8.2% directly terminated the treatment. The most common indication for HFNC was acute bronchiolitis in both the emergency department and pediatric intensive care. Conclusion: It was determined that the majority of pediatric emergency and pediatric intensive care specialists based their decisions for starting, monitoring and terminating HFNC on the examination findings of the patient and did not use any scoring system or protocol.
Anahtar Kelime: Türkiye’deki Çocuk Yoğun Bakım ve Çocuk Acil Uzmanlarının Yüksek Akışlı Nazal Kanülle Oksijen Tedavisi Uygulamaları
Öz: Giriş: Çocuk hastalarda yüksek akışlı nazal kanül oksijen (YANKO) tedavisinin başlama, izleme ve sonlandırma yöntemleri konusunda fikir birliği bulunmamaktadır. Bu çalışmada, Türkiye’deki çocuk acil ve çocuk yoğun bakım uzmanlarının YANKO uygulamaları araştırılmıştır. Yöntemler: Bu anket çalışmasına 22 şehirden toplam 85 çocuk acil ve çocuk yoğun bakım hekimi katıldı. Yirmi sorudan oluşan ankette, YANKO endikasyonları, komplikasyonları, tercih edilen ayarlar, takip ve ayırma yöntemleri araştırıldı. Bulgular: YANKO tedavisi başlamak için, katılımcıların %22,4’ü bir puanlama sistemi kullandığını bildirdi. Katılımcıların %57,6’sı %50’nin üzerinde ve %42,4’ü %50’nin altında bir FiO2 ile tedaviye başlamaktaydı. YANKO’yu sonlandırma kararı %31,7 oranında puanlama sistemine dayalıydı. Ankete katılanların %91,8’i YANKO tedavisini akışı azaltarak sonlandırırken %8,2’si doğrudan tedaviyi sonlandırmaktaydı. YANKO için en yaygın endikasyon hem çocuk acil hem de çocuk yoğun bakımda akut bronşiolitti. Sonuç: Çocuk acil ve çocuk yoğun bakım hekimlerinin büyük çoğunluğunun YANKO başlatma, izleme ve sonlandırma kararlarını hastanın muayene bulgularına göre verdiklerini ve herhangi bir skorlama sistemi veya protokolü kullanmadıkları belirlendi.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Udurgucu M, Yener N, Albayrak H (2022). The High-flow Nasal Cannula Practices of Pediatric Intensive Care and Pediatric Emergency Specialists in Turkey. , 162 - 167. 10.4274/cayd.galenos.2021.49091 |
| Chicago | Udurgucu Muhammed,Yener Nazik,Albayrak Hatice The High-flow Nasal Cannula Practices of Pediatric Intensive Care and Pediatric Emergency Specialists in Turkey. (2022): 162 - 167. 10.4274/cayd.galenos.2021.49091 |
| MLA | Udurgucu Muhammed,Yener Nazik,Albayrak Hatice The High-flow Nasal Cannula Practices of Pediatric Intensive Care and Pediatric Emergency Specialists in Turkey. , 2022, ss.162 - 167. 10.4274/cayd.galenos.2021.49091 |
| AMA | Udurgucu M,Yener N,Albayrak H The High-flow Nasal Cannula Practices of Pediatric Intensive Care and Pediatric Emergency Specialists in Turkey. . 2022; 162 - 167. 10.4274/cayd.galenos.2021.49091 |
| Vancouver | Udurgucu M,Yener N,Albayrak H The High-flow Nasal Cannula Practices of Pediatric Intensive Care and Pediatric Emergency Specialists in Turkey. . 2022; 162 - 167. 10.4274/cayd.galenos.2021.49091 |
| IEEE | Udurgucu M,Yener N,Albayrak H "The High-flow Nasal Cannula Practices of Pediatric Intensive Care and Pediatric Emergency Specialists in Turkey." , ss.162 - 167, 2022. 10.4274/cayd.galenos.2021.49091 |
| ISNAD | Udurgucu, Muhammed vd. "The High-flow Nasal Cannula Practices of Pediatric Intensive Care and Pediatric Emergency Specialists in Turkey". (2022), 162-167. https://doi.org/10.4274/cayd.galenos.2021.49091 |
| APA | Udurgucu M, Yener N, Albayrak H (2022). The High-flow Nasal Cannula Practices of Pediatric Intensive Care and Pediatric Emergency Specialists in Turkey. Çocuk Acil ve Yoğun Bakım Dergisi, 9(3), 162 - 167. 10.4274/cayd.galenos.2021.49091 |
| Chicago | Udurgucu Muhammed,Yener Nazik,Albayrak Hatice The High-flow Nasal Cannula Practices of Pediatric Intensive Care and Pediatric Emergency Specialists in Turkey. Çocuk Acil ve Yoğun Bakım Dergisi 9, no.3 (2022): 162 - 167. 10.4274/cayd.galenos.2021.49091 |
| MLA | Udurgucu Muhammed,Yener Nazik,Albayrak Hatice The High-flow Nasal Cannula Practices of Pediatric Intensive Care and Pediatric Emergency Specialists in Turkey. Çocuk Acil ve Yoğun Bakım Dergisi, vol.9, no.3, 2022, ss.162 - 167. 10.4274/cayd.galenos.2021.49091 |
| AMA | Udurgucu M,Yener N,Albayrak H The High-flow Nasal Cannula Practices of Pediatric Intensive Care and Pediatric Emergency Specialists in Turkey. Çocuk Acil ve Yoğun Bakım Dergisi. 2022; 9(3): 162 - 167. 10.4274/cayd.galenos.2021.49091 |
| Vancouver | Udurgucu M,Yener N,Albayrak H The High-flow Nasal Cannula Practices of Pediatric Intensive Care and Pediatric Emergency Specialists in Turkey. Çocuk Acil ve Yoğun Bakım Dergisi. 2022; 9(3): 162 - 167. 10.4274/cayd.galenos.2021.49091 |
| IEEE | Udurgucu M,Yener N,Albayrak H "The High-flow Nasal Cannula Practices of Pediatric Intensive Care and Pediatric Emergency Specialists in Turkey." Çocuk Acil ve Yoğun Bakım Dergisi, 9, ss.162 - 167, 2022. 10.4274/cayd.galenos.2021.49091 |
| ISNAD | Udurgucu, Muhammed vd. "The High-flow Nasal Cannula Practices of Pediatric Intensive Care and Pediatric Emergency Specialists in Turkey". Çocuk Acil ve Yoğun Bakım Dergisi 9/3 (2022), 162-167. https://doi.org/10.4274/cayd.galenos.2021.49091 |
