Auricular seroma in a preterm infant as a severe complication of nasal continuous positive airway pressure (nCPAP)

An Integrative Review of Skin Breakdown in the Preterm Infant Associated with Nasal Continuous Positive Airway Pressure

“…Forehead pressure necrosis resulting in permanent scarring of the central forehead and left eyebrow was reported as a consequence of tight‐fitting NCPAP hats creating sources of friction and uneven pressure points (Hogeling, Fardin, Frieden, & Wargon, ). Lastly, an auricular seroma was noted in a single neonate resulting from the tight‐fitting strap attachments that secure the nasal interface to the cap across the vulnerable ear of the preterm neonate (Eifinger, Lang‐Roth, Woelfl, Kribs, & Roth, ).…”

Analgosedation with low‐dose morphine for preterm infants with CPAP: risks and benefits

“…CPAP is widely used in NICUs but it can cause pain in the application area (6,10). Alternative means of application have lead to comparable results with the only difference that the site of irritation differs with the method while incidence remains the same (11).…”

“…The decision for treating the patient was made by a very experienced neonatologist who evaluated for clinical condition and high comfort score. The times of observation were, (1) 4 h prior to injection, (2) directly before injecting, (3) until 15 min and (4) 15–30 min, (5) 30 min–1 h, (6) 1–2 h, (7) 2–3 h, (8) 3–4 h, (9) 4–5 h, (10) and 5–6 h after injection.…”

“…One procedure that can be painful is the application of a continuous positive airway pressure (CPAP) system, where topical irritation can even lead to deformation at the nasal septum and the area of fixation around the ears (5,6).…”

Taburculuğa Hazırlanan Preterm İnfantlarda Kritik Olmayan Morfolojik Deformiteler

“…[7][8][9][10][11][12][13][14] Literatürde nCPAP ilişkili bilateral timpanik mempran rüptürü, su intoksikasyonu, aerikular seroma gibi nadir komplikasyonlar bildirilmiştir. 15,16 Bu komplikasyonlar nCPAP cihazları ve nazal prongların tüm tipleri ile oluşabilir. [7][8][9][10][11][12][13] İntraventriküler kanama, posthemorajik ventriküler dilatasyon ve hidrosefali preterm infantların yönetimde önemli bir sorundur ve kalıcı morbidite ile ilişkilidir.…”