nCPAP-induced nasal injury: case series and brief literature review
Author
Cavicchioli, Paola
Silecchia, Valeria
Valerio, Enrico
Fantinato, Margherita
Giovannini, Irene
Grimalt Santacana, Ramon
Cutrone, Mario
Publication date
2019-12ISSN
2413-8223
Abstract
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.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
61 - Medical sciences
Keywords
Neonatologia
Dermatologia
Ferides i lesions
Nas -- Anatomia
Neonatología
Dermatología
Heridas y lesiones
Nariz -- Anatomía
Neonatology
Dermatology
Wounds and injuries
Nose -- Anatomy
Pages
2
Publisher
ACT Publishing Group Limited
Collection
4; 2
Is part of
Journal of Respiratory Research
Citation
Cavicchioli, Paola; Silecchia, Valeria; Valerio, Enrico [et al.]. nCPAP-induced nasal injury: case series and brief literature review. Journal of Respiratory Research, 2019, 4(2), p. 185-186. Disponible en: <http://www.ghrnet.org/index.php/jrr/issue/archive>. Fecha de acceso: 5 may. 2021. DOI: 10.17554/j.issn.2413-8223.2019.04.46-8
This item appears in the following Collection(s)
- Ciències de la Salut [738]
Rights
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Except where otherwise noted, this item's license is described as http://creativecommons.org/licenses/by-nc/4.0/