Oral continuous positive airway pressure (CPAP) following nasal injury in a preterm infant

Carlisle, Hazel; Kamlin, C. Omar F.; Owen, Louise; Davis, Peter G; Morley, Colin J

doi:10.1136/adc.2009.170084

Cited by 19 publications

(15 citation statements)

References 7 publications

(8 reference statements)

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“…Hence, the occurrence of these injuries is directly related to the pressure the device exerts on the septum and nasal columella, due to the reduced local blood irrigation and the consecutive development of trauma ( 5 , 9 , 11 ) . Hence, the non-constant observation of these devices' positioning and stabilization favors the appearance of injuries, demanding immediate intervention from the team for the sake of prevention ( 19 ) .…”

Section: Discussionmentioning

confidence: 99%

“…In view of the lack of recent studies on this theme in the literature, the technological evolution at the neonatal services has moved towards the search for devices that minimize the effects on the infant's nostrils. Nevertheless, despite the increasing use of these devices, there are no controlled studies yet that guarantee safety and efficacy in the neonatal patients ( 18 - 19 ) .…”

Section: Discussionmentioning

confidence: 99%

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Nasal septum injury in preterm infants using nasal prongs

Bonfim

Vasconcelos

Sousa

et al. 2014

Rev. Latino-Am. Enfermagem

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OBJECTIVE: to assess the incidence and risk factors associated with nasal septum injury in premature infants using reused and new nasal prongs. METHOD: the study was a cohort from an open therapeutic intervention. The sample included 70 infants with a gestational age inferior to 37 weeks, who used nasal prongs and were hospitalized at the neonatal service of a hospital in Recife-PE, in the Northeast of Brazil. The data were collected in patient files through the assessment of the application of the device and of the nasal septum. Multinomial Logistic Regression and Survival analyses were applied. RESULTS: the incidence of nasal injury corresponded to 62.9%. In the multiple analysis, only the length of the infant's treatment was a determinant factor for the occurrence and severity of the injuries. CONCLUSION: the type of nasal prong does not serve as a risk factor for the nasal injury. The high incidence of nasal injury indicates the need to adapt the nursing care with emphasis on prevention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Nasal septum injury in preterm infants using nasal prongs

Bonfim

Vasconcelos

Sousa

et al. 2014

Rev. Latino-Am. Enfermagem

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“…Specific measures like hydrocolloid film and ointment (dexpanthenolum) can be used in patients with nasal trauma. Carlisle et al [16] described a novel method of oral CPAP delivery in an extremely premature infant with severe nasal septum erosion. The distal end of a cut down endotracheal tube was passed through a small hole made in the teatment of a dummy (infant pacifier) and sutured in place.…”

Section: Discussionmentioning

confidence: 99%

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

Xie

2014

World Journal of Emergency Medicine

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“…Such respiratory care can be performed noninvasively through constant or variable pressure from ventilatory support. This technique of ventilatory support is known as continuous positive airway pressure (CPAP) 2,3 . Invasive assisted MV is achieved by orotracheal intubation (OTI), which consists of the placement of a naso-or orotracheal tube and performs the same function as noninvasive support 4 .…”

Section: Introductionmentioning

confidence: 99%

Influence of orotracheal intubation on preterm infant palate shape between 12 and 24 months old

Costa¹,

Santos²,

Carvalho³

et al. 2017

JORDI - Journal of Oral Diagnosis

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Introduction: Mechanical ventilation (MV) is indicated in diverse clinical situations in which the individual develops acute or chronic respiratory failure. Objective: To evaluate the palate shape of preterm infants aged 12 to 24 months who were submitted to orotracheal intubation (OTI) and mechanical ventilation. Methods: This cross-sectional observational study included preterm infants submitted to MV by OTI for at least seven days, who weighed less than 2000 g at birth, and were attended at the Preterm Infant Care Outpatient Clinic of the University Hospital of the University of São Paulo and the Premature Infant Outpatient Clinic of the Children's Institute of the Clinics Hospital of the School of Medicine of the University of São Paulo. Sociodemographic data were collected from neonatal medical records of the participating children. The oral cavity was examined to classify palate shape into square, narrow or ovoid. Statistical analyses were performed using the ANOVA F, Kruskal-Wallis and Chi-square tests, with a 5% significance level. Results: The mean period of OTI was 25.3 ± 25.8 days, and the children presented a significantly higher percentage of narrow shaped palate (p<0.001). Conclusion: The palate in preterm infants submitted to invasive MV by OTI is predominantly narrow and deep.

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Oral continuous positive airway pressure (CPAP) following nasal injury in a preterm infant

Cited by 19 publications

References 7 publications

Nasal septum injury in preterm infants using nasal prongs

Nasal septum injury in preterm infants using nasal prongs

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

Influence of orotracheal intubation on preterm infant palate shape between 12 and 24 months old

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