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Respire Mejor: Optimización de la Presión Positiva Continua en las Vías Respiratorias en la Unidad de Cuidados

Gloria Johnson¹, Sushma Nuthakki, Kaashif Ahmad

¹Author Affiliations: Pediatrix Medical Group, Neonatology of Houston, Houston, Texas (Mrs Johnson, and Drs Nuthakki, Ahmad, Roitsch, Maruna, and Horst); Department of Neonatology, The Woman's Hospital of Texas, Houston, Texas (Mrs Johnson, and Drs Nuthakki, Ahmad, Roitsch, Maruna, and Horst); and Texas Tech University Health Sciences Center, School of Nursing, Lubbock, Texas (Toon).

Advances in neonatal care : official journal of the National Association of Neonatal Nurses

|February 2, 2026

Resumen

La implementación de FlexiTrunk CPAP en la UCIN mejoró la confianza y el cumplimiento del personal de enfermería. Sin embargo, este estudio no mostró una reducción en las tasas de displasia broncopulmonar (DBP) a pesar de la mejora de la educación sobre la administración de presión positiva continua en las vías respiratorias (CPAP).

Área de la Ciencia:

Cuidados intensivos neonatales
Soporte respiratorio
Iniciativas de mejora de la calidad

Sus antecedentes:

El aumento de las tasas de displasia broncopulmonar (DBP) requiere la investigación de estrategias preventivas.
Los métodos de administración de CPAP pueden influir en el riesgo de DBP.
Una UCIN local observó un aumento de la DBP, lo que provocó una revisión de las prácticas de atención.

Objetivo del estudio:

Disminuir las tasas de DBP en un 20% tras la adopción de FlexiTrunk CPAP.
Mejorar la confianza y el cumplimiento del personal de enfermería con FlexiTrunk CPAP a través de una educación específica.

Principales métodos:

Se estudió una UCIN de nivel IV con 242 lactantes que utilizaban CPAP.
El personal recibió formación sobre FlexiTrunk CPAP a través de representantes, simposios y algoritmos.
Se midió la confianza del personal de enfermería, el cumplimiento del dispositivo y las tasas de DBP antes y después de la intervención.

Principales resultados:

La implementación de FlexiTrunk CPAP condujo a un cumplimiento superior al 93%.
La confianza del personal de enfermería mejoró significativamente después de la intervención.
Las tasas de displasia broncopulmonar no cambiaron durante el período de estudio.

Conclusiones:

La educación eficaz del personal es vital para la implementación exitosa de FlexiTrunk CPAP.
Diversos enfoques educativos apoyan la mejora de la calidad en la atención neonatal.
Se necesita más investigación para evaluar las estrategias y los resultados a largo plazo de prevención de la DBP.

Palabras clave:

Planificar, Hacer, Estudiar, Actuar (PDSA)displasia broncopulmonar (DBP)presión positiva continua en las vías respiratorias (CPAP)duración de la estancia hospitalaria unidad de cuidados intensivos neonatales mejora de la calidad

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