Abstract
Aims & Objectives: To describe the use of ventilatory support with high-flow nasal cannulas in pediatric patients with risk factors for extubation failure. Methods: Observational, descriptive, cross-sectional and retrospective study. Results: Data were collected from 44 patients from the pediatric intensive care unit from July 2018 to January 2020 at the Mexican National Institute of Pediatrics, patients were grouped by age, the main pathologies that conditioned admission were classified, being the most frequent the respiratory pathology 36%, cardiovascular 21% and neurological 21%, were identified as main risks of extubation failure, prolonged ventilation 32%, and severe malnutrition 26%, the average of the days of mechanical ventilation was 19, and the average of days of ventilatory support with high-flow nasal cannulas was 11, the rate of failure to extubation with ventilatory support with high-flow nasal cannula was 6%. Conclusions: High flow nasal cannula ventilation does improve extubation tolerance, according to our work we found that the percentage of extubation failure was only 6%, which can reach around 20% in other centers according to the reported world literature.
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