High flow nasal cannula in asthmatic children with suspected COVID-19

Abstract

Introduction: The use of a high-flow nasal cannula as an alternative treatment for acute respiratory failure can reduce the need for invasive mechanical ventilation and the duration of hospital stays. Objective: The present study aimed to describe the use of a high-flow nasal cannula in pediatric asthmatic patients with acute respiratory failure and suspected COVID-19. Methods: To carry out this research, data were collected from medical records, including three patients with asthma diagnoses. The variables studied were: personal data (name, age in months, sex, weight, and color), clinical data (physical examination, PRAM score, respiratory rate, heart rate, and peripheral oxygen saturation), diagnosis, history of the current disease, chest, and laboratory radiography (arterial blood gases and reverse-transcriptase polymerase chain reaction). Clinical data were compared before and after using a high-flow nasal cannula. Results: After the application of the therapy, a gradual improvement in heart, respiratory rate, PaO2/FiO2 ratio, and the Pediatric Respiratory Assessment Measure score was observed. Conclusion: The simple and quick use of a high-flow nasal cannula in pediatric patients with asthma can be safe and efficient in improving their respiratory condition and reducing the need for intubation.

A importância da intervenção fisioterapêutica em crianças acometidas com COVID-19: Uma revisão integrativa

“…No estudo de Neves (2021) foi abordado a relação do uso de cânula nasal de alto fluxo (CNAF) em crianças asmáticas com insuficiência respiratória e suspeita de Sars-CoV-2, e foi demonstrado que o seu uso é bastante favorável, pois há uma melhora significativa no quadro respiratório desses pacientes, apesar de no início da pandemia este recurso ter sido contraindicado, por se acreditar que haveria alto risco de gerar aerossóis durante a utilização, diminuindo assim a segurança dos fisioterapeutas, por esse motivo, é de extrema importância que durante a administração da CNAF ocorra monitorização constante do sistema respiratório do paciente, pois caso ocorra piora do quadro é necessário ser realizada a intubação traqueal.…”