Comparison of two nasal prongs for application of continuous positive airway pressure in neonates*

Rego, Maria A.C.; Martinez, Francisco Eulógio

doi:10.1097/00130478-200207000-00007

Cited by 36 publications

(32 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In an RCT conducted by Rego and Martinez17 comparing Argyle (Covidien, Mansfield, USA) and Hudson (Hudson RCI, Research Triangle Park, North Carolina, USA) nasal prongs, Argyle prongs were more likely to cause nasal hyperaemia for infants weighing <1000 g. Fujii et al 13 noted that skin immaturity, incubator humidity and temperature, and the number of position changes were significant risk factors for infants who developed pressure-related injury.…”

Section: Resultsmentioning

confidence: 99%

Nasal injury in preterm infants receiving non-invasive respiratory support: a systematic review

Imbulana

Manley²,

Dawson³

et al. 2017

Arch Dis Child Fetal Neonatal Ed

101

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

Nasal injury in preterm infants receiving non-invasive respiratory support: a systematic review

Imbulana

Manley²,

Dawson³

et al. 2017

Arch Dis Child Fetal Neonatal Ed

101

View full text Add to dashboard Cite

show abstract

“…The incidence of skin breakdown reported in the literature associated with NCPAP in neonates differs by 20-60% [26]. In randomized, controlled trials conducted by Rego and Martinez [27] and Yong et al [15], no significant differences in the frequency of skin injury (excoriation, bleeding or erythma) were found when comparing different nasal interface groups. Similar to previous findings, we did not observe a significant difference in skin breakdown rates according to nasal interface, but the rate diminished to 13.5%, lower than reported in the literature [26].…”

Section: Discussionmentioning

confidence: 99%

Binasal Prong versus Nasal Mask for Applying CPAP to Preterm Infants: A Randomized Controlled Trial

Kutman

Oğuz

et al. 2016

Neonatology

View full text Add to dashboard Cite

Background: Nasal continuous positive airway pressure (NCPAP) is being widely used for the treatment of respiratory distress syndrome (RDS) in preterm infants. However, there are only a few studies which compare different interfaces of NCPAP delivery and their effects on respiratory outcomes. Objective: We aimed to determine whether NCPAP applied with binasal prongs compared to that with a nasal mask (NM) reduces the rate of moderate/severe bronchopulmonary dysplasia (BPD) in preterm infants. Methods: Infants between 26 and 32 weeks' gestation who suffered from RDS and were treated with NCPAP were assessed. Parallel randomization was performed to eligible infants to receive NCPAP either via binasal prongs or NM. Infants were intubated if they fulfilled the predefined failure criteria. Data were collected by using the intention-to-treat principle. Results: One hundred and sixty infants were screened and 149 were randomized. Seventy-five infants in the binasal prong (NP) group and 74 in the NM group were analyzed. Mean gestational ages were 29.3 ± 1.6 vs. 29.1 ± 2.0 weeks (p = 0.55), and birth weights were 1,225 ± 257 vs. 1,282 ± 312 g (p = 0.22) in the NP and NM groups, respectively. The frequency of NCPAP failure within 24 h of life was higher in the NP than the NM group (8 vs. 0%; p = 0.09). The median duration of NCPAP was significantly higher in the NP group [median 4 (1-5) vs. 2 (1-3) h, p < 0.01]. The rate of moderate and severe BPD was significantly lower in the NM (n = 2, 2.7%) when compared with the NP group (n = 11, 14.6%; p < 0.01). The BPD/death rates were not different between the 2 groups (NM group: n = 18 or 24.3%; NP group: n = 19 or 25.3%; p = 0.51). Conclusions: The NM was successfully used for delivering NCPAP in preterm infants, and no NCPAP failure was observed within the first 24 h. These data show that applying NCPAP by NM yielded a shorter duration of NCPAP and statistically reduced the rates of moderate and severe BPD.

show abstract

“…Nasal trauma represent a source of discomfort for patients, possible site of infection and a risk of long term functional or cosmetic sequelae 8–10. There is few and heterogeneous data in the literature on this topic 11–16. Robertson et al first reported a rate of 20% for nasal deformities secondary to nCPAP in very low birthweight infants (7 cases) 11.…”

Section: Introductionmentioning

confidence: 99%

“…Yong et al have studied the effect of mask versus cannula in the development of nasal trauma and found no statistically significant difference between these two devices (29% vs 35%, respectively) 14. Other studies comparing different nCPAP systems reported this complication as a secondary outcome 15 16. Furthermore, nomenclature of these nasal lesions is highly variable including nasal trauma, injury, breakdown, blanching, bleeding or necrosis.…”

Section: Introductionmentioning

confidence: 99%

Nasal trauma due to continuous positive airway pressure in neonates

Fischer

Bertelle

Hohlfeld

et al. 2010

Archives of Disease in Childhood - Fetal and Neonatal Edition

171

157

View full text Add to dashboard Cite

show abstract

Comparison of two nasal prongs for application of continuous positive airway pressure in neonates*

Cited by 36 publications

References 13 publications

Nasal injury in preterm infants receiving non-invasive respiratory support: a systematic review

Nasal injury in preterm infants receiving non-invasive respiratory support: a systematic review

Binasal Prong versus Nasal Mask for Applying CPAP to Preterm Infants: A Randomized Controlled Trial

Nasal trauma due to continuous positive airway pressure in neonates

Contact Info

Product

Resources

About