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
61
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oai_identifier_str oai:recercat.cat:20.500.12328/2521
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network_name_str España
repository_id_str
spelling nCPAP-induced nasal injury: case series and brief literature reviewCavicchioli, PaolaSilecchia, ValeriaValerio, EnricoFantinato, MargheritaGiovannini, IreneGrimalt Santacana, RamonCutrone, MarioNeonatologiaDermatologiaFerides i lesionsNas -- AnatomiaNeonatologíaDermatologíaHeridas y lesionesNariz -- AnatomíaNeonatologyDermatologyWounds and injuriesNose -- Anatomy61nCPAP-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.info:eu-repo/semantics/publishedVersionACT Publishing Group Limited2019info:eu-repo/semantics/article2http://hdl.handle.net/20.500.12328/2521https://dx.doi.org/10.17554/j.issn.2413-8223.2019.04.46-8reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésJournal of Respiratory Research4;2This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work noncommercially, and license their derivative works on different terms, provided the original work is properly cited and the use is noncommercial. See: http://creativecommons.org/licenses/by-nc/4.0/http://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:20.500.12328/25212026-05-29T05:05:01Z
dc.title.none.fl_str_mv nCPAP-induced nasal injury: case series and brief literature review
title nCPAP-induced nasal injury: case series and brief literature review
spellingShingle nCPAP-induced nasal injury: case series and brief literature review
Cavicchioli, Paola
Neonatologia
Dermatologia
Ferides i lesions
Nas -- Anatomia
Neonatología
Dermatología
Heridas y lesiones
Nariz -- Anatomía
Neonatology
Dermatology
Wounds and injuries
Nose -- Anatomy
61
title_short nCPAP-induced nasal injury: case series and brief literature review
title_full nCPAP-induced nasal injury: case series and brief literature review
title_fullStr nCPAP-induced nasal injury: case series and brief literature review
title_full_unstemmed nCPAP-induced nasal injury: case series and brief literature review
title_sort nCPAP-induced nasal injury: case series and brief literature review
dc.creator.none.fl_str_mv Cavicchioli, Paola
Silecchia, Valeria
Valerio, Enrico
Fantinato, Margherita
Giovannini, Irene
Grimalt Santacana, Ramon
Cutrone, Mario
author Cavicchioli, Paola
author_facet Cavicchioli, Paola
Silecchia, Valeria
Valerio, Enrico
Fantinato, Margherita
Giovannini, Irene
Grimalt Santacana, Ramon
Cutrone, Mario
author_role author
author2 Silecchia, Valeria
Valerio, Enrico
Fantinato, Margherita
Giovannini, Irene
Grimalt Santacana, Ramon
Cutrone, Mario
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Neonatologia
Dermatologia
Ferides i lesions
Nas -- Anatomia
Neonatología
Dermatología
Heridas y lesiones
Nariz -- Anatomía
Neonatology
Dermatology
Wounds and injuries
Nose -- Anatomy
61
topic Neonatologia
Dermatologia
Ferides i lesions
Nas -- Anatomia
Neonatología
Dermatología
Heridas y lesiones
Nariz -- Anatomía
Neonatology
Dermatology
Wounds and injuries
Nose -- Anatomy
61
description 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.
publishDate 2019
dc.date.none.fl_str_mv 2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12328/2521
https://dx.doi.org/10.17554/j.issn.2413-8223.2019.04.46-8
url http://hdl.handle.net/20.500.12328/2521
https://dx.doi.org/10.17554/j.issn.2413-8223.2019.04.46-8
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Journal of Respiratory Research
4;2
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 2
dc.publisher.none.fl_str_mv ACT Publishing Group Limited
publisher.none.fl_str_mv ACT Publishing Group Limited
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.811543

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