Evidence · Randomised trial
'Nasal mask' in comparison with 'nasal prongs' or 'rotation of nasal mask with nasal prongs' reduce the incidence of nasal injury in preterm neonates supported on nasal continuous positive airway pressure (nCPAP): A randomized controlled trial.
- Care and rehabilitation
- Line and device care
- Medical
- Non-invasive ventilation and high flow
- Nursing
- Pressure area care
- Respiratory
This paper is from 2019, more than five years ago. Newer evidence may have been published since.
Summary
A three-arm open-label randomised controlled trial in preterm infants of 30 weeks' gestation or less requiring nasal CPAP, comparing nasal masks, nasal prongs, and rotation between the two interfaces. The primary focus was incidence and severity of nasal injury at CPAP removal, with CPAP failure as a secondary outcome. The authors report significantly less nasal injury with continuous nasal mask use than with prongs or interface rotation, while CPAP failure rates did not differ by interface. Relevant to neonatal and paediatric teams delivering non-invasive respiratory support and managing device-related skin injury.
Summary written for PICUlearn. Always read the original.
- Licence:
- Open (Creative Commons)
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