Hydrocolloid dressing in preventing nasal trauma secondary to nasal continuous positive airway pressure in preterm infants

Nasal injury in preterm infants receiving non-invasive respiratory support: a systematic review

“…Fischer et al 9 alternated therapy between nasal prongs and masks every 4–6 hours. Xie et al 7 used nasal prongs or masks alternatively every 6 hours if an infant presented with mild or moderate nasal injury.…”

“…The application of a physical barrier has also been shown to decrease the severity of nasal injury, as it relieves excessive pressure exerted by binasal prongs. Xie et al 7 noted that a nasal dressing created a better seal in the nares during CPAP delivery, particularly in infants with larger nares, which potentially could be an additional advantage of such dressings. However, the effectiveness of nasal dressings in very small infants remains unclear.…”

Neonatal pressure ulcers: prevention and treatment

“…26 Apply dressing or gel device that redistributes pressure. 18,59,65,75 Leave a half-hour break between 4 to 6 hours of treatment. 76 Alternate nasal prongs with nasal mask.…”

“…Some of these factors are the presence of ostomies or drainage, excess regurgitation or sialorrhea and the presence of noninvasive mechanical ventilation with heated and humidified systems (especially those systems that condense the water in the tubes). [57][58][59][60][61][62][63][64][65][66] The main nursing care practices that can reduce humidity and therefore the PU risk are changing diapers, cleaning and drying the area after each episode of incontinence, 67 applying absorbent dressings between the devices and the skin according to the needs of absorption (polyurethane, alginate, hydrocolloid fibers), 62 and/or using barrier products tested in neonatal patients (creams, lotions, pastes and/or emollients enriched with zinc oxide, polyurethane spreads, molding pastes, silicones). 40 …”

Does using a nasal barrier dressing prevent nasal injury in premature infants receiving nasal continuous positive airway pressure?

“…NCPAP‐related nasal injury is a common complication of these interfaces . Special dressings have been manufactured to prevent this complication and have been found to be effective in larger infants . The current study aimed to evaluate a barrier dressing in smaller, less mature infants.…”