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The National Institute for Health and Care Excellence (NICE) recommends the use of continuous positive airway pressure (CPAP) for children with impending respiratory failure due to bronchiolitis.1 Anecdotal reports, however, suggest that high flow nasal cannula therapy (HFNC) is becoming a popular alternative. Two recent systematic reviews, based mainly on observational studies, conclude that there is insufficient evidence at present to determine the effectiveness of HFNC in bronchiolitis.2 ,3
During winter 2014/2015, we conducted a regional audit to determine adherence to NICE guidance relating to the provision of respiratory support for bronchiolitic infants.
During a 3-month period (November–January), a convenience sample of district general hospitals …