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The Optiflow™ interface for chronic CPAP in infants
Sonia Khirani1, Plamen Bokov2, Marine Dosso3
1ASV Santé, Gennevilliers, France; Pediatric Noninvasive Ventilation and Sleep Unit, AP-HP Necker Hospital, F-75015, Paris, France; Université de Paris Cité, EA 7330 VIFASOM, F-75004, Paris, France.
Insights
The Optiflow™ nasal cannula shows promise for infant continuous positive airway pressure (CPAP) therapy when standard masks are unavailable. Further research is needed to confirm its safety and efficacy in neonates.
Area of Science:
- Neonatal care
- Respiratory support
Background:
- Continuous positive airway pressure (CPAP) is vital for infant respiratory support.
- Limited availability and suitability of infant CPAP masks pose challenges.
Purpose of the Study:
- To evaluate the use of the Optiflow™ nasal cannula with home CPAP in very young infants.
- To assess the feasibility and potential benefits of this interface as an alternative to masks.
Main Methods:
- Pilot study involving 4 infants (3-8 weeks old) treated with home CPAP using the Optiflow™ nasal cannula.
- Observation of treatment duration and successful weaning.
Main Results:
- The Optiflow™ nasal cannula was successfully used in 4 very young infants for home CPAP.
- Infants were weaned off CPAP after a few months of treatment.
- This interface may be beneficial where infant masks are scarce or ill-fitting.
Conclusions:
- The Optiflow™ nasal cannula shows potential as an alternative interface for home CPAP in neonates.
- Further studies are essential to validate the clinical benefits and safety of using this non-intended interface with home CPAP devices.
Abstract:
Continuous positive airway pressure (CPAP) is increasingly used in infants. However, the limited number of commercially masks available for infants is challenging. The use of the Optiflow™ nasal cannula (Fisher & Paykel) with a regular CPAP device has been recently reported for chronic CPAP in children, with an objective improvement in polysomnographic events. However, this interface has not been used in young infants. We report here our experience of 4 infants aged between 3 and 8 weeks, who were treated with home CPAP with the Optiflow™ nasal cannula during a few months, before they could be successfully weaned. This pilot study reinforces the findings of the beneficial use of this nasal cannula in very young infants in whom nasal masks are scarce and not always suitably adapted. However, as this interface is not intended to be used with home CPAP, further studies are necessary to prove its clinical benefice and safety of use with home CPAP devices.
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