1. Oral feeding for infants and children receiving nasal continuous positive airway pressure and high flow nasal cannula: a systematic review
- Author
-
Manbir Chauhan, Angie Canning, Kelly A. Weir, Sally Clarke, and Sarah Thorning
- Subjects
Pediatrics ,medicine.medical_specialty ,medicine.medical_treatment ,Aspiration pneumonia ,medicine.disease_cause ,HFNC ,03 medical and health sciences ,0302 clinical medicine ,Swallowing ,030225 pediatrics ,medicine ,Cannula ,Humans ,030212 general & internal medicine ,Continuous positive airway pressure ,Adverse effect ,Child ,Retrospective Studies ,Pediatric ,Noninvasive Ventilation ,Continuous Positive Airway Pressure ,business.industry ,Infant, Newborn ,Oxygen Inhalation Therapy ,lcsh:RJ1-570 ,Infant ,lcsh:Pediatrics ,medicine.disease ,Swallow Evaluation ,Systematic review ,Pediatrics, Perinatology and Child Health ,Breathing ,Original Article ,nCPAP ,business ,Oral feeding ,Nasal cannula ,Systematic Reviews as Topic - Abstract
BackgroundThe aim of this systematic review was to determine whether introduction of oral feeding for infants and children receiving nasal continuous positive airway pressure (nCPAP) or high flow nasal cannula (HFNC) respiratory support facilitates achievement of full oral feeding without adverse effects, compared to no oral feeding (NPO; nil per oral) on CPAP or HFNC.MethodsA protocol was lodged with the PROSPERO International Prospective Register of Systematic Reviews. We searched Medline, Embase, CINAHL, CENTRAL and AustHealth from database inception to 10th June 2020. Study population included children (preterm to ResultsThe search retrieved 1684 studies following duplicate removal. Title and abstract screening identified 70 studies for full text screening and of these, 16 were included in the review for data extraction. Methods of non-invasive ventilation (NIV) included nCPAP (n = 6), nCPAP and HFNC (n = 5) and HFNC (n = 5). A metanalysis was not possible as respiratory modes and cohorts were not comparable. Eleven studies reported on adverse events. Oral feeding safety was predominantly based on retrospective data from chart entries and clinical signs, with only one study using an instrumental swallow evaluation (VFSS) to determine aspiration status.ConclusionsFindings are insufficient to conclude whether commencing oral feeding whilst on nCPAP or HFNC facilitates transition to full oral feeding without adverse effects, including oropharyngeal aspiration. Further research is required to determine the safety and efficacy of oral feeding on CPAP and HFNC for infants and children.Trial registrationPROSPERO registration number: CRD42016039325.
- Published
- 2021