{"title":"回顾:无创通气下早产新生儿减少鼻腔创伤的界面旋转策略","authors":"Sin Yan Victoria Linda Fong","doi":"10.1016/j.jnn.2023.11.010","DOIUrl":null,"url":null,"abstract":"<div><h3><strong><em>Background</em></strong></h3><p>Preterm neonates with non-invasive ventilation are susceptible to nasal trauma. Yet, the practice of interface-rotation between nasal mask and nasal prongs in preterm neonates for reducing nasal trauma was not focused in any systematic reviews.</p></div><div><h3><strong><em>Objective</em></strong></h3><p>Determine the effectiveness of interface-rotation between nasal mask and nasal prongs in reducing nasal trauma among preterm neonates with non-invasive ventilation.</p></div><div><h3><strong><em>Method</em></strong></h3><p>Studies published between 2012 and 2022 were included. Databases of Cochrane Library, PubMed and CINAHL were involved. Quality of studies were assessed by Scottish Intercollegiate Guideline Network Grading System.</p></div><div><h3><strong><em>Results</em></strong></h3><p>Statistical reduction of nasal trauma was found consistently in interface-rotation comparing to nasal prongs application. Comparing with nasal mask application, nasal erythema was less severe in 4-h interface-rotation with statistical significance (effect size −0.13; p-value 0.001).</p></div><div><h3><strong><em>Conclusions</em></strong></h3><p>4-h interface-rotation between nasal mask and nasal prongs reduced the severity of nasal trauma in preterm neonates requiring non-invasive ventilation under haemodynamically stable condition as compared with non-rotation strategy.</p></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S135518412300203X/pdfft?md5=047f60f6fff0ff439c3ebb762e9abb47&pid=1-s2.0-S135518412300203X-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Review: Strategy of interface rotation to reduce nasal trauma in preterm neonates under non-invasive ventilation\",\"authors\":\"Sin Yan Victoria Linda Fong\",\"doi\":\"10.1016/j.jnn.2023.11.010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3><strong><em>Background</em></strong></h3><p>Preterm neonates with non-invasive ventilation are susceptible to nasal trauma. Yet, the practice of interface-rotation between nasal mask and nasal prongs in preterm neonates for reducing nasal trauma was not focused in any systematic reviews.</p></div><div><h3><strong><em>Objective</em></strong></h3><p>Determine the effectiveness of interface-rotation between nasal mask and nasal prongs in reducing nasal trauma among preterm neonates with non-invasive ventilation.</p></div><div><h3><strong><em>Method</em></strong></h3><p>Studies published between 2012 and 2022 were included. Databases of Cochrane Library, PubMed and CINAHL were involved. Quality of studies were assessed by Scottish Intercollegiate Guideline Network Grading System.</p></div><div><h3><strong><em>Results</em></strong></h3><p>Statistical reduction of nasal trauma was found consistently in interface-rotation comparing to nasal prongs application. Comparing with nasal mask application, nasal erythema was less severe in 4-h interface-rotation with statistical significance (effect size −0.13; p-value 0.001).</p></div><div><h3><strong><em>Conclusions</em></strong></h3><p>4-h interface-rotation between nasal mask and nasal prongs reduced the severity of nasal trauma in preterm neonates requiring non-invasive ventilation under haemodynamically stable condition as compared with non-rotation strategy.</p></div>\",\"PeriodicalId\":35482,\"journal\":{\"name\":\"Journal of Neonatal Nursing\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-11-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S135518412300203X/pdfft?md5=047f60f6fff0ff439c3ebb762e9abb47&pid=1-s2.0-S135518412300203X-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Neonatal Nursing\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S135518412300203X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Nursing\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Neonatal Nursing","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S135518412300203X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Nursing","Score":null,"Total":0}
Review: Strategy of interface rotation to reduce nasal trauma in preterm neonates under non-invasive ventilation
Background
Preterm neonates with non-invasive ventilation are susceptible to nasal trauma. Yet, the practice of interface-rotation between nasal mask and nasal prongs in preterm neonates for reducing nasal trauma was not focused in any systematic reviews.
Objective
Determine the effectiveness of interface-rotation between nasal mask and nasal prongs in reducing nasal trauma among preterm neonates with non-invasive ventilation.
Method
Studies published between 2012 and 2022 were included. Databases of Cochrane Library, PubMed and CINAHL were involved. Quality of studies were assessed by Scottish Intercollegiate Guideline Network Grading System.
Results
Statistical reduction of nasal trauma was found consistently in interface-rotation comparing to nasal prongs application. Comparing with nasal mask application, nasal erythema was less severe in 4-h interface-rotation with statistical significance (effect size −0.13; p-value 0.001).
Conclusions
4-h interface-rotation between nasal mask and nasal prongs reduced the severity of nasal trauma in preterm neonates requiring non-invasive ventilation under haemodynamically stable condition as compared with non-rotation strategy.
期刊介绍:
Aims & Scope: This is the practical, bimonthly, research-based journal for all professionals concerned with the care of neonates and their families, both in hospital and the community. It aims to support the development of the essential practice, management, education and health promotion skills required by these professionals. The JNN will provide a forum for the exchange of ideas and information between the range of professionals working in this field; promote cooperation between these professionals; facilitate partnership care with families; provide information and informed opinion; promote innovation and change in the care of neonates and their families; and provide an education resource for this important rapidly developing field.