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Incidence and risks associated with nasal injury in newborns undergoing non-invasive ventilation through the binasal prong

  • Conference paper
  • First Online:
VII Latin American Congress on Biomedical Engineering CLAIB 2016, Bucaramanga, Santander, Colombia, October 26th -28th, 2016

Part of the book series: IFMBE Proceedings ((IFMBE,volume 60))

Abstract

Nasal injuries due to the use of non-invasive ventilation (NIV) prongs have become increasingly common adverse events in Neonatal Intensive Care Units (NICU). The goal of this study was to evaluate the incidence and risk factors associated with this type of nasal injury in newborns (NB). It was collected data in the patient records, and in the Assistance Management System of Unified Health System (UHS) of NB who have required NIV from 01/01/2013 to 12/31/2014, in a public hospital from the south of Brazil. The parameters analyzed were: gender, birth body mass, Apgar index and length of stay with NIV. In total, 158 NB have used a NIV along that period. The incidence of injury reached 41.14%, and the main responsible variableswere: gestational age, body mass at birth and length of stay in the NIV were statistically significant (p <0.05) for the development of the nasal injury. It was concluded that these factors constitute the main risk factors in developing nasal injuries.

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References

  1. Oliveira C H Y, Moran C A (2009) Estudo descritivo: ventilação mecânica não invasiva em recém-nascidos pré-termo com síndrome do desconforto respiratório. ConScientiae Saúde 8: 485-489

    Google Scholar 

  2. World Health Organization at http://www.who.int/mediacentre/factsheets/fs363/en/

  3. Flenady V J, Gray P H (2002) Chest physical therapy for preventing morbidity in babies being extubated from mechanical ventilation. Cochrane Database Syst Rev 2: DOI: 10.1002/14651858.CD000283

    Google Scholar 

  4. Nicolau C M, Andrade L B (2012) Programa de atualização em Fisioterapia Pediátrica e Neonatal: Cardiorrespiratória e Terapia Intensiva. Artmed/Panamericana, Porto Alegre

    Google Scholar 

  5. Mahmound R A, Roehr C C, Schmalisch G (2011) Current methods of non-invasive ventilatory support for neonates. PaediatrRespir Rev 12:196-205

    Google Scholar 

  6. Sarmento G J V (2011) Princípios e práticas de ventilação mecânica em pediatria e neonatologia. Manole, Barueri

    Google Scholar 

  7. Chowdhury O, Wedderburn C J, Duffy D et al. (2012) CPAP review. Eur. J. Pediatr 171:1441-1448

    Google Scholar 

  8. McCoskey L (2008) Nursing care guidelines for prevention of nasal breakdown in neonates receiving nasal CPAP. Adv. neonatal care 8:116-124

    Google Scholar 

  9. Sousa N F C, Bonfim S F S F, Vasconcelos M G L et al. (2013) Prevalência de lesão do septo nasal em prematuros no uso de prongas nasais. Rev Esc EnfermUSP47:1285-1290

    Google Scholar 

  10. Nascimento R M, Ferreira A L C, Coutinho A P F P et al. (2009) The frequency of nasal injury in newborns due to the use of continuous positive airway pressure with prongs. Rev. Latino-Am. Enfermagem 17:489-494

    Google Scholar 

  11. Fischer C, Bertelle V, Hohlfeld J et al. (2010) Nasal trauma due to continuous positive airway pressure in neonates. Arch. Dis. Child. Fetal Neonatal Ed 95:447-451

    Google Scholar 

  12. Brasil (2013) Atenção à saúde do recém-nascido: guia para os profissionais de saúde. Ministério da Saúde, Brasília

    Google Scholar 

  13. Bonfim S F S F, Vasconcelos M G L, Sousa N F C et al. (2014) Lesão de septo nasal em neonatos pré-termo no uso de prongas nasais. Rev. Latino-Am. Enfermagem,22:826-833

    Google Scholar 

  14. Primo C C, Baratela M S, Valladares M L et al. (2014) Fatores de risco associados à lesão nasal por dispositivo de pressão positiva em recém-nascidos. Rev enfermUERJ22:16-21

    Google Scholar 

  15. Cartlidge P (2000) The epidermal barrier. Semin Neonatol 5:273-280

    Google Scholar 

  16. Robertson N J, McCarthy L S, Hamilton P A et al. (1996) Nasal deformities resulting from flow driver continuous positive airway pressure. Arch Dis Child75:209-212

    Google Scholar 

  17. Ota N T, Davidson J, Guinsburg R (2013) Lesão Nasal precoce pelo uso da pronga em recém-nascidos prematuros de muito baixo peso: estudo piloto. Rev. Bra. Ter.intensiva.25:245-250

    Google Scholar 

  18. Graham L, Begg M D, Larson E et al. (2006) Risk factors for late onset gram-negative sepsis in low birth weight infants hospitalized in the neonatal intensive care unit. Pediatr Infect Dis J25:113-117

    Google Scholar 

  19. Jerre G, Silva T J, Beraldo M A et al. (2007) Fisioterapia no paciente sob ventilação mecânica. J Bras Pneumol33:142-15

    Google Scholar 

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Author information

Authors and Affiliations

  1. Universidade Tecnológica Federal do Paraná/PPGEB, Curitiba, Brazil

    D. F. Camillo, F. S. Barros & T. D. Costa

  2. PontifíciaUniversidade Católica do Paraná/PPGTS, Curitiba, Paraná, Brazil

    P. Nohama

Authors
  1. D. F. Camillo
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  2. F. S. Barros
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  3. T. D. Costa
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  4. P. Nohama
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Editor information

Editors and Affiliations

  1. Asociación Colombiana de Bioingeniería y Electrónica Médica - ABIOIN, Bucamaranga, Colombia

    Isnardo Torres

  2. Universidad Pontificia Bolivariana - UPB, Centro de Bioingeniería, Medellín, Colombia

    John Bustamante

  3. Universidad Industrial de Santander, Escuela de Ing. Eléctrica, Electrónica, Bucaramanga, Colombia

    Daniel A. Sierra

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© 2017 Springer Nature Singapore Pte Ltd.

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Camillo, D.F., Barros, F.S., Costa, T.D., Nohama, P. (2017). Incidence and risks associated with nasal injury in newborns undergoing non-invasive ventilation through the binasal prong. In: Torres, I., Bustamante, J., Sierra, D. (eds) VII Latin American Congress on Biomedical Engineering CLAIB 2016, Bucaramanga, Santander, Colombia, October 26th -28th, 2016. IFMBE Proceedings, vol 60. Springer, Singapore. https://doi.org/10.1007/978-981-10-4086-3_118

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  • DOI: https://doi.org/10.1007/978-981-10-4086-3_118

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-4085-6

  • Online ISBN: 978-981-10-4086-3

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