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Nielsen KR, Becerra R, Mallma G, et al. Successful Deployment of High Flow Nasal Cannula in a Peruvian Pediatric Intensive Care Unit Using Implementation Science-Lessons Learned. Front Pediatr. 2018;6:85doi: 10.3389/fped.2018.00085.
Nielsen, K. R., Becerra, R., Mallma, G., & Tantaleán da Fieno, J. (2018). Successful Deployment of High Flow Nasal Cannula in a Peruvian Pediatric Intensive Care Unit Using Implementation Science-Lessons Learned. Frontiers in pediatrics, 685. https://doi.org/10.3389/fped.2018.00085
Nielsen, Katie R, et al. "Successful Deployment of High Flow Nasal Cannula in a Peruvian Pediatric Intensive Care Unit Using Implementation Science-Lessons Learned." Frontiers in pediatrics vol. 6 (2018): 85. doi: https://doi.org/10.3389/fped.2018.00085
Nielsen KR, Becerra R, Mallma G, Tantaleán da Fieno J. Successful Deployment of High Flow Nasal Cannula in a Peruvian Pediatric Intensive Care Unit Using Implementation Science-Lessons Learned. Front Pediatr. 2018 Apr 11;6:85. doi: 10.3389/fped.2018.00085. eCollection 2018. PMID: 29696135; PMCID: PMC5904213.
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Front Pediatr. 2018 Apr 11;6:85. doi: 10.3389/fped.2018.00085. eCollection 2018.

Successful Deployment of High Flow Nasal Cannula in a Peruvian Pediatric Intensive Care Unit Using Implementation Science-Lessons Learned.

Frontiers in pediatrics

Katie R Nielsen, Rosario Becerra, Gabriela Mallma, José Tantaleán da Fieno

Affiliations

  1. Department of Pediatrics, Critical Care Medicine, University of Washington, Seattle, WA, United States.
  2. Department of Global Health, University of Washington, Seattle, WA, United States.
  3. Departamento de Cuidados Intensivos Pediátricos, Instituto Nacional de Salud del Niño, Lima, Peru.
  4. Universidad Nacional Federico Villarreal, Lima, Peru.

PMID: 29696135 PMCID: PMC5904213 DOI: 10.3389/fped.2018.00085

Abstract

Acute lower respiratory infections are the leading cause of death outside the neonatal period for children less than 5 years of age. Widespread availability of invasive and non-invasive mechanical ventilation in resource-rich settings has reduced mortality rates; however, these technologies are not always available in many low- and middle-income countries due to the high cost and trained personnel required to implement and sustain their use. High flow nasal cannula (HFNC) is a form of non-invasive respiratory support with growing evidence for use in pediatric respiratory failure. Its simple interface makes utilization in resource-limited settings appealing, although widespread implementation in these settings lags behind resource-rich settings. Implementation science is an emerging field dedicated to closing the know-do gap by incorporating evidence-based interventions into routine care, and its principles have guided the scaling up of many global health interventions. In 2016, we introduced HFNC use for respiratory failure in a pediatric intensive care unit in Lima, Peru using implementation science methodology. Here, we review our experience in the context of the principles of implementation science to serve as a guide for others considering HFNC implementation in resource-limited settings.

Keywords: acute respiratory failure; high flow nasal cannula; implementation science; pediatrics; peru; resource-limited setting

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