Clinical Reference

Research-Based Pocket Guide for Feeding On High Flow Nasal Cannula

Therapy Insights Member Exclusive
Print Resource — US Letter — 1 page

Population:

Pediatric

Discipline:

SLP

Diagnosis:

Feeding and Swallowing

References:

  • Dumpa, V., Kamity, R., Ferrara, L., Akerman, M., Hanna, N. (2020) The effects of oral feeding while on nasal continuous positive airway pressure (NCPAP) in preterm infants. Journal of Perinatology.
  • Ferrara L, Bidiwala A, Sher I, Pirzada M, Barlev D, Islam S, et al. Effect of nasal continuous positive airway pressure on the pharyngeal swallow in neonates. J Perinatol. 2017;37:398–403.
  • Canning, A., Clarke, S., Thorning, S. et al. Oral feeding for infants and children receiving nasal continuous positive airway pressure and high flow nasal cannula: a systematic review. BMC Pediatr 21, 83 (2021).
  • Hersh, C. J., Sorbo, J., Moreno, J. M., Hartnick, E., Fracchia, M. S., & Hartnick, C. J. (2022). Aspiration does not mean the end of a breast-feeding relationship. International Journal of Pediatric Otorhinolaryngology.

Feeding on high flow nasal cannula (HFNC)  is a thorny issue in acute pediatric settings. This guide provides a research-based guide to evidence-based parameters for initiating or continuing feeding on HFNC. This printable clinical reference is for speech-language pathologists working with pediatric patients, covering Feeding and Swallowing. Print Resource, US Letter, 1 page. Members can view and print it.

Use this resource when a patient, family, or colleague asks:

  • How do I determine readiness for feeding on HFNC?
  • Is it safe to feed infants on high flow nasal cannula?
  • What flow rates are appropriate for initiating oral feeding in NICU patients?

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