Hydrocolloids reduce nasal injuries in infants receiving CPAP: a systematic review

Siti Nur Ngaisah, Siti Nur Ngaisah and Yeni Rustinah, Yeni Rustinah (2021) Hydrocolloids reduce nasal injuries in infants receiving CPAP: a systematic review. Jurnal Ners & Kebidanan Indonesia (Indonesian Journal of Nursing & Midwifery, 9 (4). pp. 263-272. ISSN 2503-1856

Text HYDROCOLLOIDS REDUCE NASAL INJURIES IN INFANTS RECEIVING CPAP A SYSTEMATIC REVIEW.pdf - Other Download (546kB)

Abstract

Background: CPAP is the standard oxygenation management in the respiratory
emergencies in infants. The principle of CPAP is to maintain the functional residual capacity
of the lung, assist gas exchange, expand the alveoli and prevent atelectasis. Other benefits
of CPAP are minimizing the potential for trauma to mechanical ventilation, reducing the
need for intensive care and reducing costs. However, there is no agreement on when and
how to wean stable infants from CPAP. Long-term use of CPAP has side effects such as
aspiration, hemodynamic instability, and dry nasal mucosa. Another adverse effect of using
CPAP is the occurrence of skin breakdown or injury on skin and nose bridge due high
flow pressure such as redness or necrose which can cause pain. 13.1% of skin damage
occurred in stage I and 1.3% were in stage II. Pain caused by a nasal injury will make the
baby cry and increase the risk of intraventricular hemorrhage. One way to prevent nasal
injury is using hydrocolloid as a skin barrier. The skin barrier is a protective layer between
the epidermis and the mask that can reduce the risk of Medical adhesive related skin injury
(MARSI), as well as protect the skin from body fluids and exudates. Accuracy in carrying
out continuous monitoring and evaluation is very helpful in preventing complications and
maintaining baby comfort
Objectives:. Determined benefits of hydrocolloid dressing on nasal injury and comforting
infants with CPAP
Methods: Systematic review, the articles search involved several online databases such
as Sciene Direct, Pubmed, Proquest, and Google Scholar at 2014 - 2020 based on the
PICO framework and focused on using PRISMA. Participants in the study consisted of 50
children, one elderly person, 59 medical staff and 1159 infants.
Results: 9 articles found according to the criteria. There are six articles using infant
participants; one article with child participants; one article with infant and elderly participants
and one article using medical staff and infant participants. The analysis showing three main
themes: risk factors such as gestational age, body weight, duration of using CPAP and
infant illness; interface usage includes masking, prong and rotation; use of barriers such
as moist gauze and hydrocolloids
Conclusions: nasal injury can be prevented by selecting the right interface and administering
hydrocolloid as a barrier to reduces pressure at the interface.
KEYWORD: baby; cpap; hydrocoloid; skin breakdown

Item Type:	Article
Uncontrolled Keywords:	baby; cpap; hydrocoloid; skin breakdown
Subjects:	R Medicine > R Medicine (General) R Medicine > RT Nursing
Divisions:	Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User:	Mrs Ni Made Yunia Dwi Savitri
Date Deposited:	02 Jun 2022 01:39
Last Modified:	02 Jun 2022 01:39
URI:	http://eprints.triatmamulya.ac.id/id/eprint/1113

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