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Gerokomos
versão impressa ISSN 1134-928X
Resumo
BALAGUER-ESCUTIA, Paula; GARCIA-MOLINA, Pablo; BALAGUER-LOPEZ, Evelyn e MONTAL-NAVARRO, M Ángeles. Analysis of the appearance of pressure ulcers in neonates with non-invasive mechanical ventilation. Gerokomos [online]. 2023, vol.34, n.1, pp.53-60. Epub 25-Set-2023. ISSN 1134-928X.
Introduction:
Non-Invasive Mechanical Ventilation (NIV) is one of the most widely used clinical devices in neonates in Neonatal Intensive Care Units (NICU). This has shown its effectiveness in reducing the mortality of these children. However, these systems generate a prolonged pressure in certain anatomical parts of the newborn that favors the appearance of pressure injuries (LPP). It is estimated that almost half of pressure injuries in Neonatal Intensive Care Units are caused by these systems.
Objectives:
To analyze the incidence and risk factors of pressure injury in neonates at the Neonatal Intensive Care Unit of the Hospital Clinico Universitario de Valencia with Non-Invasive Mechanical Ventilation.
Methodology:
it is a cohort, observational, analytical, longitudinal and prospective study. Carried out in the neonatal ICU of the Hospital Clínico Universitario de Valencia between the months of February and May 2019.
Results:
The study sample was 34 neonates, of which 7 (20.59%) developed a pressure injury. Of the total number of patients with injury, 4 (57.1%) were carriers of nasal stems. 3 (42.9%) wore RAM cannulas and no one of patients with High Flow Oxygen Therapy Glasses developed a pressure ulcer.
Conclusions:
The use of High Flow glasses and RAM Cannulas against nasal stems as a method of reducing the incidence of pressure injuries in neonates with Non-Invasive Mechanical Ventilation.
Palavras-chave : Prevention; pressure injury; neonate; non-invasive mechanical ventilation; Neonatal Intensive Care Units.