Hypoxia Clinical Trial
Official title:
Comparison of Heated Humidified High-flow Nasal Cannula (HHFNC) Versus Standard Nasal Cannula Oxygen Delivery on Respiratory Distress and Length of Stay in Infants With Bronchiolitis and Hypoxia
Bronchiolitis is a common cold weather seasonal respiratory illness affecting infants and
children. Multiple supportive therapies have been tried in infants with bronchiolitis
including albuterol, racemic epinephrine, hypertonic saline nebulization, but to date
supportive therapy with oxygen is the only proven therapy to decrease respiratory distress in
infants with bronchiolitis, with hypertonic saline showing a borderline statistically
significant improvement. This prospective, randomized study will compare CSS and PEWS scores
on infants who receive oxygen by standard flow nasal cannula and to those who receive oxygen
via Humidified High-Flow Nasal Cannula (HHFNC). The results will help determine if infants
with viral bronchiolitis who receive humidified high flow nasal cannula oxygen therapy have
improved Clinical Severity Score (CSS) and Pediatric Early Warning System (PEWS) scores and
ultimately decreased lengths of admissions when compared to patients treated with nasal
cannula oxygen therapy with/without bronchodilator therapy.
Hypothesis Heated Humidified High-flow Nasal Cannula Delivery of Oxygen decreases respiratory
distress as measured by pediatric CSS and PEWS when compared with routine nasal cannula
oxygen delivery in infants with bronchiolitis.
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