Nasal HFOV with Binasal Cannula Appears Effective and Feasible in ELBW Newborns

J Trop Pediatr. 2016 Apr;62(2):165-8. doi: 10.1093/tropej/fmv088. Epub 2015 Dec 27.


Non-invasive ventilation has been used increasingly in recent years to reduce the duration of endotracheal ventilation and its complications, especially bronchopulmonary dysplasia. Nasal continuous positive airway pressure and nasal intermittent positive pressure ventilation are the most common non-invasive modalities, and nasal high-frequency oscillatory ventilation (n-HFOV) is relatively new but it seems effective and feasible. We present three premature cases who were ventilated with n-HFOV with Neotech RAM Cannula as interphase. In two cases, we used n-HFOV with good results to prevent extubation failure, and in one case, we used it to avoid intubation with success. n-HFOV may be useful both in early times of respiratory failure and also to facilitate extubation particularly in patients with prolonged intubation.

Keywords: binasal cannula.; nasal HFOV; premature.

Publication types

  • Case Reports

MeSH terms

  • Cannula*
  • Female
  • High-Frequency Ventilation / methods*
  • Humans
  • Infant, Newborn
  • Infant, Premature*
  • Nasal Cavity
  • Respiratory Distress Syndrome, Newborn / therapy*
  • Respiratory Insufficiency
  • Ventilator Weaning