Effect of hydrocolloid dressing on nasal injury among preterm neonates on nasal continuous positive airway pressure: a randomized controlled trial

Vollständiger Abstract

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Background: Respiratory distress in preterm neonates is a common cause of neonatal intensive care unit (NICU) admissions. Nasal continuous positive airway pressure (nCPAP) is widely used in the management of respiratory distress. Preterm neonates are at high risk for nasal injury during nCPAP. The present study was aimed to assess the effect of hydrocolloid dressing on nasal injury among preterm neonates on nCPAP. Methods: A randomized controlled trial was carried out among 78 preterm neonates in a NICU of a tertiary care centre. Simple random sampling technique was used to enroll the preterm neonates who met the inclusion criteria. Data pertaining to demographic clinical characteristics were collected from medical record and the skin condition of the nares was assessed daily by observation. Data were analysed using SPSS software version 22. To analyze the data descriptive statistics including frequency, percentage and inferential statistics including chi-square test were utilized. Results: Though the incidence of nasal injury in experimental group was lesser than control group (12.8% vs 23% respectively) it was not statistically significant p=0.23. There was a significant association between the level of nasal injury and the duration of nCPAP (p=0.04). Conclusions: Prophylactic use of hydrocolloid dressing during nCPAP reduces nasal injury in preterm neonates.