Prevenção de lesão de septo nasal em neonatos pré-termo: revisão integrativa da literatura

Bonfim, Suely de Fátima Santos Freire; Bezerra, Simone Maria Muniz da Silva; Vasconcelos, Maria Gorete Lucena de; Leal, Luciana Pedrosa

doi:10.5216/ree.v16i2.21350

Cited by 2 publications

(7 citation statements)

References 10 publications

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“…Several mechanisms contribute to the appearance of lesions [21,15]. The pressure exerted on the nostrils leads to local ischemia, which could evolve to tissue necrosis [19,[22][23][24].…”

Section: Discussionmentioning

confidence: 99%

“…Another important point is inadequate prong size, which increases air leakage when too small, thereby requiring greater pressure to achieve efficient ventilatory support. On the other hand, larger prongs may compress tissue, leading to mucosal, septal and columellar lesions [15,[25][26][27]. The small number of professionals at the units may also have a direct impact on the care provided.…”

Section: Discussionmentioning

confidence: 99%

“…The use of noninvasive mechanical ventilation with continuous positive airway pressure (CPAP) in premature newborns has been established as one of the main means of ventilatory support in neonatal intensive care units (NICUs) in recent decades [1,2]. However, the pressure exerted on the nostrils compromises mucosal integrity, resulting in nasal trauma [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

“…Among the preventive measures for septal or nostril trauma, the use of protective devices, such as the NeoSeal, stands out for significantly reducing lesions [11][12][13]. On the other hand, applying a hydrocolloid dressing to the nose and lips, compared to the upper lip alone, even with the use of Velcro, has shown no significant difference in preventing injuries [14,15].…”

Section: Introductionmentioning

confidence: 99%

“…A treatment alternative to prevent nasal septal lesions is Kinesio ® Taping (KT), since other devices more easily injure the nasal septum [14,15]. It is a malleable material, with a thin cotton surface and a latex-free elastic adhesive.…”

Section: Introductionmentioning

confidence: 99%

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Kinesio Taping® as an innovative therapeutic tool to prevent nasal septal lesions in newborns: a case study

Souza

Holanda

et al. 2020

Fisioter. mov.

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Introduction: The immaturity of the integumentary system in premature newborns (PTNB), associated with ventilatory support, contributes to the higher occurrence of nasal trauma. Objective: This article reports on the case of a newborn submitted to Kinesio® Taping as an innovative prophylactic therapy for nasal trauma. Method: We report on Kinesio® Taping, a material frequently used to treat pain in athletes, as an innovative therapeutic tool to prevent nasal septal lesions in a PTNB undergoing noninvasive mechanical ventilation (NIMV), who, after 13 days on NIMV, presented with nasal septal lesions. Results: The Kinesio® Taping, was positioned to protect the nasal septum from friction caused by direct contact of the nasal prong, maintained NIMV pressure, adapted well to the shape of the nose and improved nasal trauma after 3 days of use. Conclusion: Given that breathing in this period of life occurs predominantly through the nose and maintaining the integrity of this mucosa reduces not only respiratory discomfort, but also deformities and the risk of infections. The present study presents KT as an innovative protective tool against nasal injury in premature newborns submitted to positive pressure ventilation using nasal prongs. Despite describing a single case, the results obtained were promising. However, studies with a larger sample and different groups are needed, primarily to compare with existing methods.

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“…Several mechanisms contribute to the appearance of lesions [21,15]. The pressure exerted on the nostrils leads to local ischemia, which could evolve to tissue necrosis [19,[22][23][24].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Kinesio Taping® as an innovative therapeutic tool to prevent nasal septal lesions in newborns: a case study

Souza

Holanda

et al. 2020

Fisioter. mov.

View full text Add to dashboard Cite

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Incidence of nasal pressure injury in preterm infants on nasal mask noninvasive ventilation

Biazus

Kaminski

Silveira

et al. 2023

Rev. paul. pediatr.

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Objective The aim of this study was to evaluate the incidence of nasal injury in preterm newborns (NB) using the Neonatal Skin Condition Score within 7 days of noninvasive ventilation (NIV) and to compare the incidence of injury in NB weighing ≥1,000 g and those weighing <1,000 g at the time of initiation of NIV support. Methods This is a prospective, observational study carried out in a neonatal intensive care unit of a public hospital in Rio Grande do Sul from July 2016 to January 2021. Patients were stratified into two groups at the time of NIV initiation: group 1 (weight ≥1,000 g) and group 2 (weight <1,000 g). To assess the condition of nasal injury, a rating scale called the Neonatal Skin Condition Score was applied during the first seven consecutive days on NIV. Kaplan-Meier, log-rank test, and Cox proportional hazards regression were used to estimate the hazard ratio (HR) and 95% confidence interval (CI). Results In total, 184 NB were evaluated. Nasal injury was reported in 55 (30%) NB. The risk of nasal injury was 74% higher in group 2 (19/45) than in group 1 (36/139) (HR: 1.74; 95%CI 0.99–3.03, p=0.048). Conclusion The incidence of nasal injury in infants submitted to NIV by nasal mask was high, and the risk of this injury was greater in preterm infants weighing <1,000 g.

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Prevenção de lesão de septo nasal em neonatos pré-termo: revisão integrativa da literatura

Cited by 2 publications

References 10 publications

Kinesio Taping® as an innovative therapeutic tool to prevent nasal septal lesions in newborns: a case study

Kinesio Taping® as an innovative therapeutic tool to prevent nasal septal lesions in newborns: a case study

Incidence of nasal pressure injury in preterm infants on nasal mask noninvasive ventilation

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