Evidence · Systematic review or meta-analysis
Oral feeding for infants and children receiving nasal continuous positive airway pressure and high flow nasal cannula: a systematic review.
- Gastrointestinal and nutrition
- Medical
- Non-invasive ventilation and high flow
- Nursing
- Nutrition
- Respiratory
Summary
A systematic review examining whether oral feeding can be safely commenced in infants and children receiving nasal CPAP or high flow nasal cannula, compared with keeping them nil by mouth. Sixteen studies were included but heterogeneity in respiratory modes and cohorts precluded meta-analysis, and safety data were largely retrospective and based on clinical signs rather than instrumental swallow assessment. The authors conclude the evidence is insufficient to determine whether oral feeding on non-invasive support facilitates transition to full oral feeds without adverse effects such as aspiration. Relevant to PICU and neonatal teams making feeding decisions during non-invasive respiratory support.
Summary written for PICUlearn. Always read the original.
- Licence:
- Open (Creative Commons)
The full text of this openly licensed paper is available to PICUlearn members, and Peeky can answer questions from it.
Guidelines are shown for education. Follow your unit's own guidance and senior advice.