J Paediatr Child Health
. 2024 Sep 30.
doi: 10.1111/jpc.16679. Online ahead of print. https://pubmed.ncbi.nlm.nih.gov/39344800/
Oral feeding practices in medically complex infants receiving prolonged high-flow nasal cannula support: A retrospective cohort study
Emily Cox 1, Jasneek Chawla 2 3, Madison Moore 4, Sandra Schilling 2, Miriam Cameron 2 3, Sally Clarke 4, Chelsea Johnstone 2, Jeanne Marshall 4 5
Affiliations Expand
- PMID: 39344800
- DOI: 10.1111/jpc.16679
Abstract
Aim: To characterise the feeding profile and care pathway for infants receiving prolonged high-flow nasal cannula (HFNC) respiratory support for management of a chronic condition at one facility from January to December 2021.
Methods: Data regarding medical history, HFNC admission details (reason for HFNC, HFNC duration, flow rate), feeding outcomes and speech pathology care were collected from electronic records of HFNC-dependent infants (requiring HFNC ≥2-3 L/kg for ≥5 consecutive days). Infants with acute respiratory conditions (e.g. bronchiolitis) were excluded.
Results: This study included 24 participants (median corrected age at admission 5.3 weeks, range -6 to 18.6). Of these, 15 (60%) had a condition/s that affected more than one body system (e.g. congenital diaphragmatic hernia), requiring the care of multiple specialities. Median length of HFNC use was 37.5 days (range 11-188). Twenty (83.3%) infants were referred for speech pathology (SLP) input while on HFNC support. For those referred, frequency of SLP input was variable (0-3 sessions/week), and HFNC support requirements were the most common barrier to SLP intervention (n = 9, 45%). Twelve (54.5%) infants demonstrated improvement in their primary feeding method by discharge; however, only two (9.1%) infants were discharged on full oral feeds.
Conclusions: This study demonstrates variability in oral feeding management in infants with prolonged HFNC-dependence at our centre. Respiratory support with HFNC was identified as a barrier to progressing oral feeding. Further research is required to determine if oral feeding can be safely undertaken in this cohort. This is imperative to ensure that long-term feeding outcomes are not negatively impacted by current practice.
Keywords: deglutition disorder; high‐flow nasal cannula; infant; oral feeding; respiratory therapy.
© 2024 The Author(s). Journal of Paediatrics and Child Health published by John Wiley & Sons Australia, Ltd on behalf of Paediatrics and Child Health Division (The Royal Australasian College of Physicians).
