Case Study 4

Infant Weaning Down on HFNC

Patient Description:

  • Ex-preterm 24 weeks, prolonged ventilation and moderately severe BPD
  • On CPAP 5 at 38 weeks corrected but relatively unstable
  • In 30-40% oxygen
  • Planned transition to HFNC with pressure monitoring at transfer to guide choice of flow rate
Illustrated clipboard

Measuring the Mean Airway Pressure on a Range of High Flow Rates Allowed Targeting of Pressure

Smooth transfer to HFNC 6L and improved oxygen requirement.

HFNC
4L

Monitor reading 3.12

HFNC
6L

Monitor reading 4.51

HFNC
8L

Monitor reading 7.32