Using nasal high flow instead of nasal continuous positive airway pressure on the NICU

Most neonatal intensive care units use different types of nasal continuous positive airway pressure (nCPAP) to achieve non-invasive ventilation. The use of heated, humidified nasal cannulae to deliver nasal high flow (nHF) has gained support as an alternative to nCPAP, although there has been some conflicting evidence about how best to use it in a neonatal setting. This article will look at the safe and successful use of nHF as a direct substitute for nCPAP.