The frequency of nasal injury in newborns due to the use of continuous positive airway pressure with prongs

Abstract

Continuous positive airway pressure (CPAP) with prongs is the ventilatory support most used in newborns.Nasal

Hydrocolloid dressing in preventing nasal trauma secondary to nasal continuous positive airway pressure in preterm infants

“…It has been regarded as a non-invasive mode of ventilation and also has many advantages, such as improving oxygenation, maintaining lung volume, lowering upper airway resistance, and reducing obstructive apnoea. [14] But there are still many problems with the use of nCPAP, like nasal damage and septum breakdown of premature neonates secondary to nCPAP. [4,11] Therefore, how to prevent nasal trauma becomes the research topic among the neonatal nursing care in NICU.…”

High-Flow Oxygen Therapy: Pressure Analysis in a Pediatric Airway Model

“…3 Nasal prongs are commonly used in newborns and small infants, who often develop lesions in the nasal mucosa and septum. 4 Recently, high-flow oxygen therapy systems have been designed that can administer mixtures of warm, humidified gas at flow rates between 6 and 50 L/ min via nasal cannulae or prongs. 5 These systems are well tolerated, easy to use, and can be effective in patients with elevated oxygen requirements and/or moderate respiratory failure, although there is still little experience with their use in neonates and children.…”

Neonatal pressure ulcers: prevention and treatment

“…Some of these factors are the presence of ostomies or drainage, excess regurgitation or sialorrhea and the presence of noninvasive mechanical ventilation with heated and humidified systems (especially those systems that condense the water in the tubes). [57][58][59][60][61][62][63][64][65][66] The main nursing care practices that can reduce humidity and therefore the PU risk are changing diapers, cleaning and drying the area after each episode of incontinence, 67 applying absorbent dressings between the devices and the skin according to the needs of absorption (polyurethane, alginate, hydrocolloid fibers), 62 and/or using barrier products tested in neonatal patients (creams, lotions, pastes and/or emollients enriched with zinc oxide, polyurethane spreads, molding pastes, silicones). 40 …”