French Neonatal Society issues recommendations on preventing nasal injuries in preterm newborn infants during non-invasive respiratory support.
Details
Serval ID
serval:BIB_70E4CCE0345B
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
French Neonatal Society issues recommendations on preventing nasal injuries in preterm newborn infants during non-invasive respiratory support.
Journal
Acta paediatrica
Working group(s)
Group of Reflection and Evaluation of the Environment of Newborns study group of the French Neonatology Society
Contributor(s)
Allen A., Audeoud F., Bouvard C., Brandicourt A., Duboz M.A., Evrard A., Fichtner C., Fischer-Fumeaux C., Girard L., Gonnaud F., Hüppi P., Knezovic N., Laprugne E., Legouais S., Mons F., Muller J.B., Picaud J.C., Pierrat V., Pladys P., Reynaud A., Renesme L., Rideau A., Sizun J., Souet G., Thiriez G., Tourneux P., Touzet M., Truffert P., Tscherning C., Zaoui C., Zana-Taieb E., Zores-Koenig C.
ISSN
1651-2227 (Electronic)
ISSN-L
0803-5253
Publication state
Published
Issued date
09/2023
Peer-reviewed
Oui
Volume
112
Number
9
Pages
1849-1859
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Publication Status: ppublish
Abstract
To issue practical recommendations regarding the optimal care of nasal skin when non-invasive ventilation support is used.
We performed a systematic search of PubMed to identify relevant papers published in English or French through December 2019. Different grades of evidence were evaluated.
Forty-eight eligible studies. The incidence in preterm infants was high. The lesions were more frequent for preterm infants born under 30 weeks of gestational age and/or below 1500 g. The lesion was most often located on the skin of the nose but could also be found on the intranasal mucous membranes or elsewhere on the face. Nasal injuries appear early after the beginning of non-invasive ventilation at a mean of 2-3 days for cutaneous lesions and eight or nine for intranasal lesions. The most effective strategies to prevent trauma are the use of a hydrocolloid at the beginning of the support ventilation, the preferential use of a mask and the rotation of ventilation interfaces.
Nasal injuries with continuous positive airway pressure treatment in preterm newborn infants were frequent and can induce pain, discomfort and sequelae. The immature skin of preterm newborn infants needs specific attention from trained caregivers and awareness by parents.
We performed a systematic search of PubMed to identify relevant papers published in English or French through December 2019. Different grades of evidence were evaluated.
Forty-eight eligible studies. The incidence in preterm infants was high. The lesions were more frequent for preterm infants born under 30 weeks of gestational age and/or below 1500 g. The lesion was most often located on the skin of the nose but could also be found on the intranasal mucous membranes or elsewhere on the face. Nasal injuries appear early after the beginning of non-invasive ventilation at a mean of 2-3 days for cutaneous lesions and eight or nine for intranasal lesions. The most effective strategies to prevent trauma are the use of a hydrocolloid at the beginning of the support ventilation, the preferential use of a mask and the rotation of ventilation interfaces.
Nasal injuries with continuous positive airway pressure treatment in preterm newborn infants were frequent and can induce pain, discomfort and sequelae. The immature skin of preterm newborn infants needs specific attention from trained caregivers and awareness by parents.
Keywords
Infant, Newborn, Infant, Humans, Infant, Premature, Intermittent Positive-Pressure Ventilation, Respiratory Distress Syndrome, Newborn/therapy, Continuous Positive Airway Pressure, Gestational Age, continuous positive airway pressure, guidelines, nasal trauma, preterm infant, prevention
Pubmed
Web of science
Create date
30/05/2023 11:02
Last modification date
02/02/2024 8:31
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