High-Flow Nasal Cannula vs. NIV After Extubation in Children Undergoing Heart Surgery

High Flow Nasal Cannula vs. Non-Invasive Ventilation in Post-Extubation Pediatric Cardiac Surgery Patients: A Randomized Controlled Trial

High-Flow Nasal Cannula vs. NIV After Extubation in Children Undergoing Heart Surgery

This study aims to compare the extubation success rate between the use of High Flow Nasal Cannula (HFNC) and Non-Invasive Ventilation (NIV) in pediatric patients post-cardiac surgery at the Cipto Mangunkusumo National General Hospital. Additionally, this study seeks to identify factors influencing extubation failure in high-risk patient populations, compare CICU length of stay, sedation usage and COMFORT scale between patients receiving HFNC and those receiving NIV.

Inclusion Criteria:

• Patients under 18 years of age.
• Post-cardiac surgery patients in the CICU of Cipto Mangunkusumo National General Hospital
• Patients at high risk of extubation failure (e.g., young age, open sternotomy, mechanical ventilation >48 hours).
• Patients who pass the extubation readiness test and spontaneous breathing trial.

Exclusion Criteria:

• Diaphragmatic paralysis.
• Decreased consciousness.
• Neuromuscular disease.
• Pneumothorax without drainage.
• Airway obstruction.
• Patients with a tracheostomy.
• Unplanned extubation.
• Patient received PEEP (Positive End-Expiratory Pressure) >7 prior to extubation