Related Experiment Videos
Nasal deformities resulting from flow driver continuous positive airway pressure
N J Robertson1, L S McCarthy, P A Hamilton
1Neonatal Unit, St George's Hospital, London.
Archives of Disease in Childhood. Fetal and Neonatal Edition
|November 1, 1996
Summary
Continuous positive airway pressure (CPAP) can cause nasal trauma in very low birthweight (VLBW) infants. Early intervention and device modifications may prevent complications like nasal deformities.
Area of Science:
- Neonatal care
- Pediatric respiratory medicine
- Medical device safety
Background:
- Continuous positive airway pressure (CPAP) is vital for respiratory support in premature infants.
- Nasal trauma is a potential complication of CPAP delivery in neonates.
- Very low birthweight (VLBW) infants are particularly vulnerable to CPAP-related injuries.
Purpose of the Study:
- To document cases of nasal trauma in VLBW infants receiving CPAP.
- To identify specific nasal deformities associated with CPAP use.
- To suggest preventative strategies for CPAP-induced nasal injury.
Main Methods:
- Retrospective case review over a six-month period.
- Documentation of seven VLBW infants experiencing nasal trauma during CPAP therapy.
- Analysis of complication types and their relation to CPAP duration and device.
Main Results:
- Seven cases of nasal trauma were identified in VLBW infants on CPAP.
- Complication rate was 20% among infants requiring CPAP.
- Observed deformities included columella nasi necrosis, nostril flaring, and nasal snubbing.
Conclusions:
- Nasal trauma from CPAP is a significant concern in VLBW infants.
- Complications like necrosis and deformities can occur rapidly and persist.
- Modifications to CPAP devices and application methods are recommended to prevent these injuries.