Evidence · Randomised trial
'Nasal mask' in comparison with 'nasal prongs' or 'rotation of nasal mask with nasal prongs' reduce the incidence of nasal injury in preterm neonates supported on nasal continuous positive airway pressure (nCPAP): A randomized controlled trial.
- CPAP and high flow
- Line and device care
- Medical
- Nursing
- Respiratory
- Skin care
This paper is from 2019, more than five years ago. Newer evidence may have been published since.
Summary
This open-label, three-arm randomised controlled trial compared nasal masks, nasal prongs and rotation between the two interfaces in preterm infants of 30 weeks' gestation or less receiving nCPAP for respiratory distress from the first hours of life. The primary focus was the incidence and severity of nasal injury at removal of nCPAP, with CPAP failure also assessed. Among 175 infants, continuous use of nasal masks was associated with significantly less nasal injury than either prongs or rotation, while interface type did not affect CPAP failure rates. It is relevant to nursing and medical staff selecting and caring for CPAP interfaces.
Summary written for NICUlearn. Always read the original.
- Licence:
- Open (Creative Commons)
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