, Volume 31, Issue 6, pp 783–785 | Cite as

FIRST, “KNOW” HARM: Response to Letter to the Editor

  • Matthew J. Bizzarro
  • Maureen A. Lefton-GreifEmail author
  • Brian M. McGinley
  • Jonathan M. Siner
Letter to the Editor

This response is written on behalf of our colleague, friend, mentor, and lead author, Dr. Steven B. Leder, who unfortunately passed away in May of 2016.

The main focus of the letter “FIRST, DO NO HARM: A Response to ‘Oral Alimentation in Neonatal and Adult Populations Requiring High-Flow Oxygen via Nasal Cannula’” by Dodrill et al. [1] is the unsupported allegation that our article describes and advocates for a potentially harmful practice in the neonatal intensive care unit (NICU) population [1]. In actuality, we propose that oral feedings can be successfully initiated in a select, pre-screened population that requires non-invasive respiratory support via high-flow nasal cannula (HFNC). Specifically, we believe that the most critical factor in minimizing risk in these infants was a thorough selection and exclusion process to assess readiness to feed. In infants who met these criteria, the presence of a HFNC in and of itself did not impede successful initiation of oral feeding [2].



Continuous Positive Airway Pressure Neonatal Intensive Care Unit Oral Feeding Respiratory Inductance Plethysmography Instrumental Assessment 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Compliance with Ethical Standard

Conflict of Interest

No conflict of interest.


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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Matthew J. Bizzarro
    • 1
  • Maureen A. Lefton-Greif
    • 2
    Email author
  • Brian M. McGinley
    • 3
  • Jonathan M. Siner
    • 4
  1. 1.Department of PediatricsYale School of MedicineNew HavenUSA
  2. 2.Departments of Pediatrics, Otolaryngology-Head and Neck Surgery, and Physical Medicine and RehabilitationJohns Hopkins University School of MedicineBaltimoreUSA
  3. 3.Division of Pediatric Pulmonary and Sleep MedicineUniversity of UtahSalt Lake CityUSA
  4. 4.Department of Pulmonary and Critical CareYale School of MedicineNew HavenUSA

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