ArticleFrontiers in pediatrics2026
Implementation of a nursing- and respiratory therapist-led high-flow nasal cannula pathway is associated with decreased ICU length of stay in bronchiolitis.
Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and objectives: Bronchiolitis is a leading cause of pediatric intensive care unit (PICU) admission, with increased utilization of high-flow nasal cannula (HFNC) and non-invasive support over time. There is no universally accepted severity measure for patients with critical bronchiolitis nor standardized protocols for the implementation and de-escalation of HFNC. Design: This was a retrospective, single-center, pre-post analysis after the implementation of a respiratory therapist (RT)-registered nurse (RN) HFNC weaning pathway for bronchiolitis guided by a respiratory scoring system (RSS). Patients in the pre- and postepochs were compared by age, presence of complex chronic conditions, and initial RSS score. Measurement and main results: Patients by epoch were compared on PICU and hospital length of stay (LOS), duration of HFNC support, escalation to mechanical ventilation, and return to PICU after HFNC weaning. Patients in the pathway group had shorter PICU LOS (27 vs. 39 h, Conclusion: The implementation of an RT-RN HFNC weaning pathway guided by RSS was associated with reductions in PICU and hospital LOS as well as duration of HFNC therapy without an increase in measured adverse events, including the need for rescue with mechanical ventilation or PICU bounce back.
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