Complications associated with incorrect use of nasal CPAP.

Autor: Massa-Buck B; George Washington University Hospital, Division of Neonatology, Children's National Hospital, Washington DC, USA., Rastogi D; Division of Pediatric Pulmonology, Children's National Hospital, Washington DC, USA., Rastogi S; George Washington University Hospital, Division of Neonatology, Children's National Hospital, Washington DC, USA. srastogi@childrensnational.org.
Jazyk: angličtina
Zdroj: Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2023 Aug; Vol. 43 (8), pp. 975-981. Date of Electronic Publication: 2023 May 25.
DOI: 10.1038/s41372-023-01700-w
Abstrakt: Nasal continuous positive airway pressure (nCPAP) is a safe, effective, non-invasive respiratory modality to deliver positive end expiratory pressure in neonates. Many studies have established its associated improved respiratory outcomes without increase in major morbidities associated with preterm neonates. In contrast, there is paucity in literature addressing complications such as nasal injury, abdominal distention, air leak syndromes (especially pneumothorax), hearing loss, heat and chemical burns, swallowing and aspiration of small components of the nasal interface and delay in escalation of respiratory support associated with the use of nCPAP, most frequently due to its incorrect use. This is a comprehensive review that seeks to address the different complications that are associated with the incorrect use of nCPAP highlighting that these are operator-related and not device-related.
(© 2023. The Author(s), under exclusive licence to Springer Nature America, Inc.)
Databáze: MEDLINE
Externí odkaz: