nCPAP-induced nasal injury: case series and brief literature review

nCPAP-induced nose skin injury is a common issue in NICUs all over the world. Damage may vary from simple hyperemia in the region of application of nasal cannulae up to complete destruction of the columellar region. We here report a case series of three patients displaying various grades of nasal da...

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Detalles Bibliográficos
Autores: Cavicchioli, Paola, Silecchia, Valeria, Valerio, Enrico, Fantinato, Margherita, Giovannini, Irene, Grimalt Santacana, Ramon, Cutrone, Mario
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:20.500.12328/2521
Acceso en línea:http://hdl.handle.net/20.500.12328/2521
https://dx.doi.org/10.17554/j.issn.2413-8223.2019.04.46-8
Access Level:acceso abierto
Palabra clave:Neonatologia
Dermatologia
Ferides i lesions
Nas -- Anatomia
Neonatología
Dermatología
Heridas y lesiones
Nariz -- Anatomía
Neonatology
Dermatology
Wounds and injuries
Nose -- Anatomy
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Descripción
Sumario:nCPAP-induced nose skin injury is a common issue in NICUs all over the world. Damage may vary from simple hyperemia in the region of application of nasal cannulae up to complete destruction of the columellar region. We here report a case series of three patients displaying various grades of nasal damage, ranging from soft hyperemia to ulcerative lesions, up to complete columellar breakdown. Not only lesions with loss of substance are documented in literature; cases of post-discharge nasal vestibular stenosis and nasal synechiae obstruction are also reported. Risk factors for nCPAP-induced nasal injury include low birth weight, low gestational age, and increased time on nCPAP. Good clinical practices to prevent and treat nCPAP-induced skin damage are here briefly reviewed; strong efforts must be spent in NICU personnel education in order to enhance awareness about this topic and ensure a correct prevention.

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