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| Comparison between High-flow Nasal Cannula and CPAP in Post-operative Congenital Heart Disease Children with Severe Type I Respiratory Failure |
| SONG Hang , LI Qing, GUO Shiyong, Wu Yi |
| Xuzhou Children's Hospital, Xuzhou Medical University, Jiangsu Xuzhou 221000, China |
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Abstract Objective: To Compare the difference between the support effects of high-flow nasal cannula(HFNC) and CPAP in post-operative congenital heart disease(CHD) children with severe type I respiratory failure. Methods: From January 2018 to December 2018, 44 children were treated with HFNC (22 cases) and CPAP(22 cases) for severe type I respiratory failure after operation of congenital heart disease. PaO2,SpO2,PaCO2,RR,RW score,duration of invasive ventilation, reintubation rate,duration of ICU,hospital stay,comfort score, nasal crush,abdominal distention,regurgitation and aspiration ,gas leakage are compared between the two groups. Results: Comfort score, PaCO2,RR,RW score,nasal crush,abdominal distention,regurgitation and aspiration was lower in the HFNC group. There were no statistical significance in PaO2,SpO2,duration of invasive ventilation, reintubation rate,duration of ICU,hospital stay and gas leakage between the two groups. Conclusion: Comparing the support to post-operative children with CHD and severe type I respiratory failure,HFNC is better than CPAP.
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2019, Vol. 25 
