High-Flow Nasal Cannula Pada Anak (Literatur Review)



Nurbetti br Ginting(1*), La Ode Abd Rahman(2)

(1) Universitas Indonesia
(2) RSUPN DR. Cipto Mangunkusumo
(*) Corresponding Author

Abstract


High flow nasal cannula (HFNC) is a device used to enable high flow oxygen delivery in critically-ill children with respiratory problems such as hypoxemia, bronchiolitis, asthma and other diseases. The administration of high flow oxygen (high-flow nasal cannula/HFNC) is an example of non-invasive therapy or non-invasive ventilation (NIV). This device can be beneficial, in spite of its fairly recent development. The use of HFNC is also still relatively uncommon in the pediatric inpatient ward setting, and it is more often used in the emergency unit and pediatric intensive care unit (PICU). The objective of this review is to implement the use of HFNC in the pediatric inpatient ward to reduce the mortality rate of infants and children with acute respiratory problems such as bronchiolitis, pneumonia, and other diseases, given the limited capacity in the PICU as well as the limited number of ventilators. This literature review is conducted by from 320 article become 12 article searching from Pubmed and other online databases such as Scopus, ScienceDirect, Elsevier, and Clinical Key between 2016–2019, with the keywords being HFNC AND (pediatric OR children). The results show that currently there is an increase in the use of HFNC  in pediatric inpatient wards. The role of pediatric nurses has become more evident in providing comfort and atraumatic care for pediatric patients and in reducing the effect of hospitalization and discomfort in patients, such as shortness of breath due to the underlying disease of the patient


High-Flow Nasal Cannula (HFNC) adalah alat yang digunakan untuk membantu pemberian oksigen yang tinggi pada gangguan pernafasan pada anak yang kondisinya kritis seperti  kasus hipoksemia,bronkilitis,asma pada anak dan lain-lain. Pemberian oksigen dengan kecepatan tinggi (High-Flow Nasal Cannula /HFNC)  merupakan salah satu terapi non invasif atau non-invasive ventilation (NIV). Alat ini dapat membantu walaupun masih baru dan belum banyak digunakan untuk ruang rawat inap anak. HFNC lebih banyak digunakan di unit gawat darurat dan Pediatric Intensive Care Unit (PICU). Tujuan penulisan ini adalah penggunaan HFNC dapat diaplikasikan diruang perawatan bangsal anak untuk mengurangi angka kematian pada bayi dan anak dengan gangguan pernafasan akut seperti bronkhiolitis,pneumonia dan lain-lain,dengan keterbatasan ruang rawat PICU dengan ventilator. Metode yang digunakan pada penulisan ini adalah metode studi literatur review.Penelusuran jurnal Pubmed dan jurnal akademik melalui Online Database diantaranya : Scopus , Science Direct, Elsevier, dan Clinical Key  dari tahun 2016-2019 sebanyak 320 artikel menjadi 12 artikel dengan kata kunci HFNC and pediatric or children. Hasil telaah menunjukan bahwa pada saat ini sudah mulai ada peningkatan penggunaan HFNC di ruang perawatan anak. Peran seorang perawat anak disini sangat jelas sekali terlihat yaitu memberikan kenyamanan dan atraumatic care pada pasien anak dan mengurangi efek hospitalisasi dan rasa yang tidak nyaman seperti sesak yang didapatkan akibat penyakit.


Keywords


device; respiratory disorders; NIV; HFNC; pediatric nurse

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References


Dadlez, N. M., Esteban-Cruciani, N., Khan, A., Shi, Y., McKenna, K. J., Azzarone, G., & Southern, W. N. (2019). Safety of High-Flow Nasal Cannula Outside Intensive Care Units for Previously Healthy Children With Bronchiolitis. Respiratory Care, respcare.06352. https://doi.org/10.4187/respcare.06352

González Martínez, F., González Sánchez, M. I., Pérez-Moreno, J., Toledo del Castillo, B., & Rodríguez Fernández, R. (2019). What is the optimal flow on starting high-flow oxygen therapy for bronchiolitis treatment in paediatric wards? Anales de Pediatría (English Edition), 91(2), 112–119. https://doi.org/10.1016/j.anpede.2018.11.013

Guillot, C., Le Reun, C., Behal, H., Labreuche, J., Recher, M., Duhamel, A., & Leteurtre, S. (2018). First-line treatment using high-flow nasal cannula for children with severe bronchiolitis: Applicability and risk factors for failure. Archives de Pediatrie, 25(3), 213–218. https://doi.org/10.1016/j.arcped.2018.01.003

Hansen, G., Hochman, J., Garner, M., Dmytrowich, J., & Holt, T. (2019). Pediatric early warning score and deteriorating ward patients on high-flow therapy. Pediatrics International, 61(3), 278–283. https://doi.org/10.1111/ped.13787

Luo, J., Duke, T., Chisti, M. J., Kepreotes, E., Kalinowski, V., & Li, J. (2019). Efficacy of High-Flow Nasal Cannula vs Standard Oxygen Therapy or Nasal Continuous Positive Airway Pressure in Children with Respiratory Distress: A Meta-Analysis. Journal of Pediatrics. https://doi.org/10.1016/j.jpeds.2019.07.059

Peterson, S. J. ., & Bredow, T. S. (2008). Middle Range Theories :Application to Nursing Research. In 2. Philadelphia: Lippincott Williams & Wilkins.

Riccio, C. A., Sarmiento, S., Minhajuddin, A., Nasir, D., & Fox, A. A. (2019). High-flow versus standard nasal cannula in morbidly obese patients during colonoscopy: A prospective, randomized clinical trial. Journal of Clinical Anesthesia, 54, 19–24. https://doi.org/10.1016/j.jclinane.2018.10.026

Riese, J., Porter, T., Fierce, J., Riese, A., Richardson, T., & Alverson, B. K. (2017). Clinical Outcomes of Bronchiolitis After Implementation of a General Ward High Flow Nasal Cannula Guideline. Hospital Pediatrics, 7(4), 197–203. https://doi.org/10.1542/hpeds.2016-0195

Shioji, N., Kanazawa, T., Iwasaki, T., Shimizu, K., Suemori, T., Kuroe, Y., & Morimatsu, H. (2019). High-flow nasal cannula versus noninvasive ventilation for postextubation acute respiratory failure after pediatric cardiac surgery. Acta Medica Okayama, 73(1), 15–20. https://doi.org/10.18926/AMO/56454

Van Dorst, M., van Gestel, J. P. J., van Grotel, M., Versluijs, B., van den Heuvel-Eibrink, M. M., Nijman, J., & Wösten-van Asperen, R. M. (2019). PICU Admission Rates in Pediatric Cancer and Hematopoietic Stem Cell Transplant Patients Receiving High-flow Nasal Cannula Oxygen Therapy on the General Ward. Journal of Pediatric Hematology/Oncology, 1. https://doi.org/10.1097/MPH.0000000000001649

Vourc’h, M., Baud, G., Feuillet, F., Blanchard, C., Mirallie, E., Guitton, C., … Asehnoune, K. (2019). High-flow Nasal Cannulae Versus Non-invasive Ventilation for Preoxygenation of Obese Patients: The PREOPTIPOP Randomized Trial. EClinicalMedicine. https://doi.org/10.1016/j.eclinm.2019.05.014

Wolf, P., Bridier, A., Josseran, L., Mbieleu, B., Hammami, W., & Bergounioux, J. (2019). High-flow nasal cannula use for bronchiolitis treatment in French intensive care units: A transversal study. Archives de Pediatrie, 26(3), 174–175. https://doi.org/10.1016/j.arcped.2019.02.002




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