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Journal of Anesthesia https://doi.org/10.1007/s00540-023-03203-6 LE T TER TO THE EDITOR Rohan Magoon Received: 16 April 2023 / Accepted: 8 May 2023 © The Author(s) under exclusive licence to Japanese Society of Anesthesiologists 2023 Keywords Congenital heart disease · High-flow nasal cannula · Pulmonary morbidity · Transfusion To the Editor: or modified ultrafiltration practices were employed across Shimizu et al. are congratulated for their recent single- the patients included in the present study. arm interventional study investigating Postoperative Pulmo- Even in strict relation to evaluating the preventive poten- nary Complications (PPC) after pediatric cardiac surgery tial of HFNC therapy, there are other points in the Shimizu with a specific focus on the efficacy of prophylactic High- et al. study which are worth discussing. Ahead of the sample Flow Nasal Cannula (HFNC) in ameliorating the former [1]. size in a study focusing PPC being premised on the pre- Unable to discover a preventive effect of HFNC in the mat- specified reintubation rates, the inclusion of a heterogene- ter, the authors adequately discuss the concerns regarding ous surgical cohort (with varying pre-existing congenital the predetermined 10% PPC incidence threshold employed cardiac lesions) deserves simultaneous attention [1]. Habre in the study [1]. Nonetheless, additional facets in the cor-
Journal of Anesthesia – Springer Journals
Published: Aug 1, 2023
Keywords: Congenital heart disease; High-flow nasal cannula; Pulmonary morbidity; Transfusion
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