• J Clin Sleep Med · Sep 2015

    Case Reports

    High-Flow Nasal Cannula Therapy for Obstructive Sleep Apnea in Children.

    • Leon Joseph, Shmuel Goldberg, Michal Shitrit, and Elie Picard.
    • Pediatric Pulmonary Unit, Shaare Zedek Medical Center, affiliated with the Hebrew University School of Medicine, Jerusalem, Israel.
    • J Clin Sleep Med. 2015 Sep 1; 11 (9): 1007-10.

    IntroductionOver the last decade, high-flow nasal cannula (HFNC) therapy has become an increasingly important and popular mode of noninvasive respiratory support. HFNC facilitates delivery of humidified and heated oxygen at a high flow rate and generates positive airway pressure.MethodsWe present five cases of children with OSA without adenotonsillar hypertrophy who were treated with HFNC.ResultsWe demonstrated a statistically significant improvement in apnea-hypopnea index and nadir oxygen saturation in this small cohort.ConclusionWe present our successful experience of treating severe OSA with HFNC in the home setting. Further randomized controlled trials are needed to determine whether HFNC could be considered as an established alternative for CPAP in OSA in children.© 2015 American Academy of Sleep Medicine.

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