The effect of bubble nasal continuous positive airway pressure application on saliva cortisol levels in full-term neonates

Autor: Noor Fadli Idrus, Andi Dwi Bahagia Febriani, Ema Alasiry
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Paediatrica Indonesiana, Vol 64, Iss 1, Pp 22-7 (2024)
Druh dokumentu: article
ISSN: 0030-9311
2338-476X
DOI: 10.14238/pi64.1.2024.22-7
Popis: Background Neonates with respiratory distress are commonly treated with bubble nasal continuous positive airway pressure (nCPAP) and undergo many procedures that cause stress-induced pain. Salivary cortisol is a biomarker of alteration in the hypothalamic-pituitary-adrenal axis caused by repeated and long-term exposure to stress. Objective To analyze the effect of bubble nCPAP use on salivary cortisol levels in full-term infants. Methods This study used a one-group pre-test­–post-test design to compare salivary cortisol levels before and 30 minutes after bubble nCPAP application. Salivary cortisol was measured using an ELISA method. Pain was also assessed at the same time points using the Neonatal Infant Pain Scale (NIPS) score. We included infants of 37 0/7 to 42 6/7 weeks’ gestational age with respiratory distress necessitating bubble nCPAP application. Infants with birth weight of
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