Heated Humidified High Flow Nasal Cannula Oxygen Therapy (HHFNC) is increasingly used on the paediatric wards and High Dependency Units (HDU) for different types of pathologies and different age groups. We aimed to describe current practice related to the use of HHFNC on the paediatric wards and HDUs, weaning practices and preferred outcome measures for future research. We carried out a cross-sectional online survey of UK paediatric consultants or their delegates working on the paediatric wards. Descriptive analysis of their geographical, and organizational characteristics, their specialties, and their level of experience was investigated. Reasons for HHFNC initiation, weaning criteria, patients’ characteristics and their primary pathologies were also analysed. Participation of 218 paediatricians from 81 hospitals (Median: 2.7, Range: 1–11) was registered. HHFNC was provided in most of the surveyed hospitals (93%, 75/81). A High Dependency Unit (HDU) was available in 47 hospitals (58%); less than a third of those have a dedicated paediatrician. Decisions around HHFNC were made solely by paediatricians in (75%) of the cases, mostly at hospitals with no HDU compared to those with dedicated HDUs (70.3% VS 36.6, 95%CI:22.6–50.4%, P < .001). HHFNC was reported by nearly two-thirds (68%) of the practitioners who used it on the wards to be as effective or superior to CPAP (Continuous Positive Airway Pressure) with fewer complications. Failure rate while on HHFNC was identified as the most important outcome measure in any future research followed by the length of need for HHFNC support (37.1, and 28% respectively). This survey showed support for developing paediatric-specific national guidance on the use of HHFNC on the wards. Our list of defined research priorities may help guide further collaborative research efforts in this field.

中文翻译：

---

英国儿科病房使用加湿高流量氧气疗法的全国性调查：当前的实践和研究重点

加热加湿的高流量鼻导管氧气疗法（HHFNC）越来越多地用于儿科病房和高依赖性病房（HDU），以适应不同类型的病理和不同年龄组。我们的目的是描述与在儿科病房和HDU中使用HHFNC有关的当前实践，断奶实践以及未来研究的首选结局指标。我们对英国儿科顾问或其在儿科病房工作的代表进行了横断面在线调查。对他们的地理和组织特征，他们的专业以及他们的经验水平进行了描述性分析。还分析了HHFNC开始的原因，断奶标准，患者特征及其主要病理。来自81家医院的218名儿科医生的参与（中位数：2.7，范围：1-11）已注册。接受调查的大多数医院都提供了HHFNC（93％，75/81）。47家医院（58％）设有高依赖病房（HDU）；不到三分之一的人有专门的儿科医生。围绕HHFNC的决定仅由儿科医生做出（75％），与没有专用HDU的医院相比，多数没有HDU的医院（70.3％VS 36.6，95％CI：22.6-50.4％，P <.001）。在病房中使用HHFNC的从业人员中，有近三分之二（68％）报告称HHFNC与CPAP（持续气道正压通气）一样有效或更好，并发症更少。在任何未来的研究中，使用HHFNC的失败率被认为是最重要的结果指标，其次是需要HHFNC支持的时间（分别为37.1和28％）。这项调查显示了支持针对病房使用HHFNC制定针对儿科的国家指南。我们已定义的研究重点清单可能有助于指导该领域的进一步合作研究。