Related Experiment Video

Updated: Jul 30, 2026

Intratracheal Instillation of Stem Cells in Term Neonatal Rats
04:27

Intratracheal Instillation of Stem Cells in Term Neonatal Rats

Published on: May 4, 2020

Nutrition and High-Flow Nasal Cannula Respiratory Support in Children With Bronchiolitis

Katherine N Slain1, Natalia Martinez-Schlurmann2, Steven L Shein3

  • 1Rainbow Babies & Children's Hospital, Cleveland, Ohio; and katherine.slain@uhhospitals.org.

Hospital Pediatrics
|April 21, 2017
PubMed

Insights

Enteral nutrition in children with bronchiolitis on high-flow nasal cannula (HFNC) support is safe, with feeding-related adverse events occurring rarely. Early feeding initiation in these pediatric patients may lead to shorter hospital stays and reduced HFNC use.

Area of Science:

  • Pediatrics
  • Critical Care Medicine
  • Neonatology

Background:

  • Guidelines for initiating enteral nutrition in pediatric patients with bronchiolitis on high-flow nasal cannula (HFNC) support are lacking.
  • Feeding-related adverse events (AEs) are a concern in this vulnerable population.

Purpose of the Study:

  • To investigate the association between HFNC support and feeding-related AEs in children with bronchiolitis.
  • To evaluate the impact of feeding timing on clinical outcomes.

Main Methods:

  • A retrospective study of pediatric intensive care unit (PICU) patients (≤24 months) with bronchiolitis receiving HFNC.
  • Data collected included demographics, respiratory support during feeding, and feeding-related AEs (respiratory distress, emesis).
  • Feeding routes and HFNC delivery levels were documented across nursing shifts.

Main Results:

  • Feeding-related AEs were rare (5.8% of feeding shifts) and not significantly associated with HFNC support levels (P = .092).
  • Children initiated with early feeding (within 2 shifts) had a shorter PICU length of stay (2.2 vs 3.2 days, P = .006).
  • Early feeding was also associated with a shorter duration of HFNC use (26.0 vs 53.5 hours, P = .002).

Conclusions:

  • Feeding-related AEs are infrequent and not linked to the level of respiratory support in children with bronchiolitis on HFNC.
  • Early enteral nutrition initiation in this cohort appears safe and may improve clinical outcomes, including reduced PICU stay and HFNC duration.
Abstract

More Related Videos

A Novel Inhalation Mask System to Deliver High Concentrations of Nitric Oxide Gas in Spontaneously Breathing Subjects05:46

A Novel Inhalation Mask System to Deliver High Concentrations of Nitric Oxide Gas in Spontaneously Breathing Subjects

Published on: May 4, 2021

Related Concept Videos

Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
Acute Respiratory Failure-V01:29

Acute Respiratory Failure-V

The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Oxygen Delivering System I: Nasal Cannula and Face Mask01:26

Oxygen Delivering System I: Nasal Cannula and Face Mask

The human body requires oxygen to function, and when the natural process of respiration is hindered, external devices, including the following, are needed to help deliver this vital gas.
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
Administering Oxygen by Nasal Cannula01:29

Administering Oxygen by Nasal Cannula

Oxygen therapy is critical to patient care, especially for those struggling with respiratory issues. This intervention increases the oxygen concentration in the lungs, enhancing the amount of oxygen transported to the body's tissues. One standard method of delivering supplemental oxygen is through a nasal cannula, a non-invasive device that provides low to medium oxygen concentrations.
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils, connected...
Mechanical Ventilation III: Noninvasive Ventilation01:23

Mechanical Ventilation III: Noninvasive Ventilation

Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation (NIPPV)
Respiratory Syncytial Virus Disease01:29

Respiratory Syncytial Virus Disease

Human respiratory syncytial virus (RSV) is a widespread pathogen that primarily targets infants and young children but also poses a serious health risk to elderly and immunocompromised individuals. Belonging to the Pneumoviridae family, RSV is a negative-sense, single-stranded RNA virus within the Pneumovirus genus. Its global health burden is significant, with millions of cases annually resulting in hospitalizations and mortality, particularly in resource-limited settings. Although most...