Masks versus prongs as interfaces for nasal continuous positive airway pressure in preterm infants

Paoli, Antonio G De; Oddie, Sam; Davis, Peter G; McGuire, William

doi:10.1002/14651858.cd015129

Cited by 8 publications

(3 citation statements)

References 85 publications

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“…After de-duplication, preliminary screening of titles and abstracts, 30 articles were obtained. Four articles aiming at adults, nine incompatible research types, and two updated guidelines were excluded, leaving a total of 16 articles, including six guidelines ( 6 , 12 - 16 ), three expert consensuses ( 5 , 17 , 18 ), two evidence summaries ( 19 , 20 ), and five systematic reviews ( 2 , 21 - 24 ). The basic characteristics of the included literatures are shown in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

“…Zhu et al ( 27 ) found that alternating prongs and nasal mask of NCPAP Q4h is conducive to reduce nasal pressure damage and improving the comfort of premature infants, but earlier research suggested alternating every 8 hours ( 28 ). So, the optimal interval time to achieve the lowest rate of nasal injury still needs to be further determined, and the available trial data provide evidence that use of masks compared with prongs as the NCPAP interface may reduce treatment failure and nasal injury ( 24 ). Meanwhile, using moisturizing oil to massage the noses during switching period can moisturize the skin, protect the stratum corneum, and enhance the epidermal barrier function.…”

Section: Discussionmentioning

confidence: 99%

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Summary of the best evidence for the prevention of nasal injury in preterm infants with nasal noninvasive ventilation

Fu,

Li,

et al. 2024

Transl Pediatr

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Background Due to immaturity, the nose of preterm infants can easily be injured, by even a short application of a nasal device. However, 20% to 60% of preterm infants suffer nasal damage while using nasal continuous positive airway pressure (NCPAP) due to weak skin tissue, prolonged use of nasal device, and improper nursing practices, leading to increased risk of infection and decreased compliance and tolerance. In this study, we retrieved, obtained and integrated the related evidences of prevention of nasal injury in premature infants with nasal noninvasive ventilation to provide reference for clinical practice. Methods We searched the relevant guidelines, expert consensus, evidence summaries and systematic reviews in the databases and guideline websites of the National Institute for Health and Care Excellence (NICE), Scottish Intercollegiate Guidelines Network (SIGN), the Agency for Health care Research and Quality (AHRQ), Guidelines International Network (GIN), the World Health Organization (WHO) guideline websites, Registered Nurses’ Association of Ontario (RANO), Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN), European Pressure Ulcer Advisory Panel (EPUAP), Yi Maitong, British Medical Journal best-practice, Cochrane Library, UpToDate, Embase, PubMed, China National Knowledge Infrastructure (CNKI), Wanfang. The search was limited to the time of library establishment to February 2023. Results In total, 16 articles were included, including six guidelines, three expert consensuses, two evidence summaries and five systematic reviews. Twenty-eight pieces of evidence were summarized from six aspects: risk assessment, ventilation and connection, skin protection, skin assessment, training and support, and continuous quality improvement. Conclusions This study summarized the best evidence for the prevention of nasal injury in premature infants through nasal noninvasive ventilation. It is suggested that nurses should consider the actual clinical situation when applying the suggestions from the evidence, formulate corresponding nursing measures, and reduce the occurrence of nasal injury in premature infants.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Summary of the best evidence for the prevention of nasal injury in preterm infants with nasal noninvasive ventilation

Fu,

Li,

et al. 2024

Transl Pediatr

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“…The authors reported that the use of nasal masks was associated with lower treatment failure rates and decreased nasal injury (including moderate-severe injury). There was no difference in the outcomes of mortality, BPD or pneumothorax between the two groups ( 35 ) ( Table 1 ). Similar results were reported by Razak et al ( 36 ), King et al ( 37 ) and Jasani et al ( 38 ) in their respective meta-analyses.…”

Section: Cpapmentioning

confidence: 95%

Non-invasive ventilation in neonates: a review of current literature

Ramaswamy,

Devi,

Kumar

2023

Front. Pediatr.

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Moving from an era of invasive ventilation to that of non-invasive respiratory support, various modalities have emerged resulting in improved neonatal outcomes. Respiratory distress is the commonest problem seen both in preterm and term neonates, and the use of appropriate respiratory support could be lifesaving. This article reviews the currently available non-invasive ventilation (NIV) strategies in neonates including nasal continuous positive airway pressure, nasal intermittent positive pressure ventilation (NIPPV), bi-level CPAP, heated humidified high flow nasal cannula, nasal high-frequency ventilation (NHFV) and non-invasive neutrally adjusted ventilatory assist (NIV-NAVA). Though multiple systematic reviews and meta-analyses have indicated the superiority of synchronized NIPPV over the other forms of non-invasive respiratory support in neonates, there is no single NIV modality that universally suits all. Hence, the choice of NIV for a neonate should be individualized based on its efficacy, the disease pathology, resource settings, the clinician's familiarity and parental values. Future studies should evaluate emerging modalities such as NIV-NAVA and NHFV in the respiratory management of neonates as the evidence pertaining to these is insufficient.

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Bubble devices versus other pressure sources for nasal continuous positive airway pressure in preterm infants

Paoli

Davis

Oddie

et al. 2023

Cochrane Database of Systematic Reviews

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Masks versus prongs as interfaces for nasal continuous positive airway pressure in preterm infants

Cited by 8 publications

References 85 publications

Summary of the best evidence for the prevention of nasal injury in preterm infants with nasal noninvasive ventilation

Summary of the best evidence for the prevention of nasal injury in preterm infants with nasal noninvasive ventilation

Non-invasive ventilation in neonates: a review of current literature

Bubble devices versus other pressure sources for nasal continuous positive airway pressure in preterm infants

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