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Nasal Complications Related With CPAP Treatment

Yıl 2018, Cilt: 8 Sayı: 3, 133 - 138, 18.12.2018
https://doi.org/10.32448/entupdates.476313

Öz


AIM: In preterm infants who have a tendency for hypox- ia, continuous positive airway pressure (CPAP) support is one of the standard treatments being used today. Al-though newborns are prone to complications, too many complications have not been reported in literature due to CPAP in newborn period. In this study, complications in preterm infants have been reported who had nasal CPAP treatment which were considered to be related to this.



METHOD: Within the scope of the study, 82 babies who were hospitalized in the newborn intensive care unit and had nasal CPAP between September 2014 and September 2017 have been evaluated. During this time period, the newborns that had nasal CPAP treatment have been evaluated in terms of nasal complications in certain intervals.



RESULTS: During this period, complications which are considered to be related to Nasal CPAP have been observed in 6 babies. In 4 newborns, nasal columellar hyperemia related to the use of masks and in 1 newborn, columella necrosis has been seen. In two of the patients, intranasal synechia has been observed. While intranasal synechias were unilateral in 1 patient, it was observed as bilateral multiple nasal synechia in another patient.



CONCLUSION: Continuous positive airway pressure treat-ment is a lifesaving method when required. However, it may cause certain complications due to pressure and pressured air in the newborn period which is open to all kinds of trauma. It is important to know about these complications and identifying and preventing them in the earliest time possible since the treatment is long and difficult.




Kaynakça

  • 1) Hamvas A. Pathophsiology and management of respiratory distress syndrome. In: Martin JR, Fanaroff AA, Walsch MC, editors. Fanaroff and Martin’s Neonatal-Perinatal Medicine: Diseases of the fetus and infant, Vol. 2, 9th ed. St. Louis (MO), Elsevier Mosby; 2011. p.1106- 16.
  • 2) Morley CJ, Davis PG, Doyle LW, et al. Nasal CPAP or intubation at birth for very preterm infants. N Engl J Med 2008;358(7):700-8.
  • 3) Aly H, Milner JD, Patel K, El-Mohandes AA. Does the experi- ence with the use of nasal continuous positive airway pressure im- prove over time in extremely low birth weight infants? Pediatrics 2004;114(3):697-702.
  • 4) Newman KM, McGrath JM, Estes T, Jallo N, Salyer J, Bass WT. An integrative review of skin breakdown in the preterm infant associated with nasal continous positive airway pressure. J Obstet Gynecol Neo- natal Nurs 2013;42(5):508-16.
  • 5) Davis PG, Morley CJ, Owen LS. Non-invasive respiratory support of preterm neonates with respiratory distress: continuous positive airway pressure and nasal intermittent positive pressure ventilation. Semin Fetal Neonatal Med 2009;14(1):14-20.
  • 6) Bhatia R, Davis PG, Tingay DG. Regional volume characteristics of the preterm infant receiving first intention continous positive airway pressure. J Pediatr 2017;187:80-8.
  • 7) Thukral A, Sankar MJ, Chandrasekaran A, Agarwal R, Paul VK. Ef- ficacy and safety of CPAP in low- and middle- income countries. J Perinatol 2016;36:S21-8.
  • 8) Fedor KL. Noninvasive respiratory support in infants and children. Respir Care 2017;62(6):699-717.
  • 9) Morley SL. Non-invasive ventilation in paediatric critical care. Pae- diatr Respir Rev 2016;20:24-31.
  • 10) Imbulana D, Manley BJ, Dawson JA, Davis PG, Owen LS. Na- sal injury in preterm infants receiving non-invasive respirato- ry support: a systemic review. Arch Dis Child Fetal Neonatal Ed 2018;103(1):F29-F35.
  • 11) Sahni R, Schiaratura M, Polin RA. Strategies fort he prevention of continous positive airway pressure failure. Semin Fetal Neonatal Med 2016;21(3):196-203.
  • 12) Chidini G, Piastra M, Marchesi T, et al. Continous positive airway pressure with helmet versus mask in infants with bronchiolitis: an RCT. Pediatrics 2015;135(4):e868-75.
  • 13) Campbell C, Parish LC. The decubitis ulcer: facts and controversies. Clin Dermatol 2010;28(5):527-32.
  • 14) Levy A, Kopplin K, Gefen A. Device-related pressure ulcers from a biomechanical perspesctive. J Tissue Viability 2017;26(1):57-68.
  • 15) Levy A, Kopplin K, Gefan A. Adjustibility and adabtibility are crit- ical characteristics of pediatric support surfaces. Adv Wound Care 2015;4(10):615-22.
  • 16) Baharestani MM, Ratliff CR. Pressure ulcers in neonates and children: an NPUAP White paper. Adv Skin Wound Care 2007;20(4):208-20.
  • 17) Willock J, Harris C, Harrison J, Poole C. Identifying the characteris- tics of children with pressure ulcers. Nurs Times 2005;101(11):40-3.
  • 18) Beule AG. Physiology and pathophsiology of respiratory mucosa of the nose and the paranasal sinuses. GMS Curr Top Otorhinolaryngol Head Neck Surg 2010;9:Doc07.
  • 19) Atef A, Zeid IA, Qotb M, El Rab EG. Effect of passive smoking on ciliary regeneration of nasal mucosa after functional endoscopic sinüs surgery in children. J Laryngol Otol 2009;123:75-9.
  • 20) Wang TC, Tai CJ, Tsou YA, Tsai LT, Li YF, Tsai MH. Absorbable and nonabsorbable packing after functional endoscopic sinüs surgery: systemic review and meta-analysis of outcomes. Eur Arch Otorhino- laryngol 2015;272(8):1825-31.
  • 21) Quinn JG, Bonaparte JP, Kilty SJ. Postoperative management in the prevention of complications after septoplasty: a systemic review. La- ryngoscope 2013;123(6):1328-33.
  • 22) Roberts CT, Owen LS, Manley BJ, et al. Nasal high-flow therapy for primary respiratory support in preterm infants. N Engl J Med 2016;375(12):1142-51.
Yıl 2018, Cilt: 8 Sayı: 3, 133 - 138, 18.12.2018
https://doi.org/10.32448/entupdates.476313

Öz

Kaynakça

  • 1) Hamvas A. Pathophsiology and management of respiratory distress syndrome. In: Martin JR, Fanaroff AA, Walsch MC, editors. Fanaroff and Martin’s Neonatal-Perinatal Medicine: Diseases of the fetus and infant, Vol. 2, 9th ed. St. Louis (MO), Elsevier Mosby; 2011. p.1106- 16.
  • 2) Morley CJ, Davis PG, Doyle LW, et al. Nasal CPAP or intubation at birth for very preterm infants. N Engl J Med 2008;358(7):700-8.
  • 3) Aly H, Milner JD, Patel K, El-Mohandes AA. Does the experi- ence with the use of nasal continuous positive airway pressure im- prove over time in extremely low birth weight infants? Pediatrics 2004;114(3):697-702.
  • 4) Newman KM, McGrath JM, Estes T, Jallo N, Salyer J, Bass WT. An integrative review of skin breakdown in the preterm infant associated with nasal continous positive airway pressure. J Obstet Gynecol Neo- natal Nurs 2013;42(5):508-16.
  • 5) Davis PG, Morley CJ, Owen LS. Non-invasive respiratory support of preterm neonates with respiratory distress: continuous positive airway pressure and nasal intermittent positive pressure ventilation. Semin Fetal Neonatal Med 2009;14(1):14-20.
  • 6) Bhatia R, Davis PG, Tingay DG. Regional volume characteristics of the preterm infant receiving first intention continous positive airway pressure. J Pediatr 2017;187:80-8.
  • 7) Thukral A, Sankar MJ, Chandrasekaran A, Agarwal R, Paul VK. Ef- ficacy and safety of CPAP in low- and middle- income countries. J Perinatol 2016;36:S21-8.
  • 8) Fedor KL. Noninvasive respiratory support in infants and children. Respir Care 2017;62(6):699-717.
  • 9) Morley SL. Non-invasive ventilation in paediatric critical care. Pae- diatr Respir Rev 2016;20:24-31.
  • 10) Imbulana D, Manley BJ, Dawson JA, Davis PG, Owen LS. Na- sal injury in preterm infants receiving non-invasive respirato- ry support: a systemic review. Arch Dis Child Fetal Neonatal Ed 2018;103(1):F29-F35.
  • 11) Sahni R, Schiaratura M, Polin RA. Strategies fort he prevention of continous positive airway pressure failure. Semin Fetal Neonatal Med 2016;21(3):196-203.
  • 12) Chidini G, Piastra M, Marchesi T, et al. Continous positive airway pressure with helmet versus mask in infants with bronchiolitis: an RCT. Pediatrics 2015;135(4):e868-75.
  • 13) Campbell C, Parish LC. The decubitis ulcer: facts and controversies. Clin Dermatol 2010;28(5):527-32.
  • 14) Levy A, Kopplin K, Gefen A. Device-related pressure ulcers from a biomechanical perspesctive. J Tissue Viability 2017;26(1):57-68.
  • 15) Levy A, Kopplin K, Gefan A. Adjustibility and adabtibility are crit- ical characteristics of pediatric support surfaces. Adv Wound Care 2015;4(10):615-22.
  • 16) Baharestani MM, Ratliff CR. Pressure ulcers in neonates and children: an NPUAP White paper. Adv Skin Wound Care 2007;20(4):208-20.
  • 17) Willock J, Harris C, Harrison J, Poole C. Identifying the characteris- tics of children with pressure ulcers. Nurs Times 2005;101(11):40-3.
  • 18) Beule AG. Physiology and pathophsiology of respiratory mucosa of the nose and the paranasal sinuses. GMS Curr Top Otorhinolaryngol Head Neck Surg 2010;9:Doc07.
  • 19) Atef A, Zeid IA, Qotb M, El Rab EG. Effect of passive smoking on ciliary regeneration of nasal mucosa after functional endoscopic sinüs surgery in children. J Laryngol Otol 2009;123:75-9.
  • 20) Wang TC, Tai CJ, Tsou YA, Tsai LT, Li YF, Tsai MH. Absorbable and nonabsorbable packing after functional endoscopic sinüs surgery: systemic review and meta-analysis of outcomes. Eur Arch Otorhino- laryngol 2015;272(8):1825-31.
  • 21) Quinn JG, Bonaparte JP, Kilty SJ. Postoperative management in the prevention of complications after septoplasty: a systemic review. La- ryngoscope 2013;123(6):1328-33.
  • 22) Roberts CT, Owen LS, Manley BJ, et al. Nasal high-flow therapy for primary respiratory support in preterm infants. N Engl J Med 2016;375(12):1142-51.
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Ozan Gökdoğan

Fikret İleri Bu kişi benim

Yayımlanma Tarihi 18 Aralık 2018
Gönderilme Tarihi 1 Eylül 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 8 Sayı: 3

Kaynak Göster

APA Gökdoğan, O., & İleri, F. (2018). Nasal Complications Related With CPAP Treatment. ENT Updates, 8(3), 133-138. https://doi.org/10.32448/entupdates.476313
AMA Gökdoğan O, İleri F. Nasal Complications Related With CPAP Treatment. ENT Updates. Aralık 2018;8(3):133-138. doi:10.32448/entupdates.476313
Chicago Gökdoğan, Ozan, ve Fikret İleri. “Nasal Complications Related With CPAP Treatment”. ENT Updates 8, sy. 3 (Aralık 2018): 133-38. https://doi.org/10.32448/entupdates.476313.
EndNote Gökdoğan O, İleri F (01 Aralık 2018) Nasal Complications Related With CPAP Treatment. ENT Updates 8 3 133–138.
IEEE O. Gökdoğan ve F. İleri, “Nasal Complications Related With CPAP Treatment”, ENT Updates, c. 8, sy. 3, ss. 133–138, 2018, doi: 10.32448/entupdates.476313.
ISNAD Gökdoğan, Ozan - İleri, Fikret. “Nasal Complications Related With CPAP Treatment”. ENT Updates 8/3 (Aralık 2018), 133-138. https://doi.org/10.32448/entupdates.476313.
JAMA Gökdoğan O, İleri F. Nasal Complications Related With CPAP Treatment. ENT Updates. 2018;8:133–138.
MLA Gökdoğan, Ozan ve Fikret İleri. “Nasal Complications Related With CPAP Treatment”. ENT Updates, c. 8, sy. 3, 2018, ss. 133-8, doi:10.32448/entupdates.476313.
Vancouver Gökdoğan O, İleri F. Nasal Complications Related With CPAP Treatment. ENT Updates. 2018;8(3):133-8.