Practice of continuous positive airway pressure application in Neonatal Intensive Care Unit. Cross sectional study

Pub Date : 2023-10-01 DOI:10.1016/j.ijso.2023.100666

Fentahun Gedamu Asress , Yonas Admasu Ferede , Wubie Birlie Chekol , Yosef Belay Bizuneh

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引用次数: 0

Abstract

Background

Continuous positive airway pressure (CPAP) is a simple, inexpensive, and gentle mode of respiratory support for neonates.This is beneficial for spontaneously breathing neonates by maintaining functional residual capacity in the alveoli to prevent atelectasis and improve oxygen exchange. The aim of this study was to assess the practice of continuous positive airway pressure application in neonatal intensive care.

Methods

A hospital based prospective observational descriptive study was conducted on 60 neonates from March 15, 2022 to July 30, 2022 at NICU Unit at XXX Comprehensive Specialized Hospital, July 2022, North-west Ethiopia.

Descriptive statistical analysis with SPSS version 25 was used.

Results

The overall practice of CPAP use were (73.4%), with assessment of parameters such as initial nursing care before initiation of CPAP (82.2%), Setting up of CPAP (94.1%), preparing the Baby for CPAP (65.3%), Connecting the nasal prong system to the neonate (50%), Methods of Securing CPAP device (96.7%), Performing safety check for Troubleshooting in CPAP (78.3%) and Monitor of CPAP and On-going assessments (46.6%).

Conclusion

The practice of CPAP application was good at Initial nursing care before initiation of CPAP, Setting up of CPAP, and Methods of Securing CPAP device. However, there was poor practice in connecting the nasal prong system to the neonate, preparing the Baby for CPAP, performing safety checks for troubleshooting in CPAP, Monitoring of CPAP and On-going assessments.

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持续气道正压通气在新生儿重症监护室的应用实践。横断面研究

背景:持续气道正压通气(CPAP)是一种简单、廉价、温和的新生儿呼吸支持方式。这有利于新生儿自主呼吸，维持肺泡的功能剩余容量，防止肺不张，改善氧交换。本研究的目的是评估持续气道正压通气在新生儿重症监护中的应用。方法对2022年3月15日至2022年7月30日在埃塞俄比亚西北部XXX综合专科医院新生儿重症监护病房出生的60例新生儿进行前瞻性观察性描述性研究。采用SPSS version 25进行描述性统计分析。结果CPAP使用的总体实践情况为(73.4%)，评估参数包括启动CPAP前的初始护理(82.2%)、CPAP的设置(94.1%)、为婴儿准备CPAP(65.3%)、将鼻刺系统与新生儿连接(50%)、固定CPAP设备的方法(96.7%)、进行CPAP故障排除的安全检查(78.3%)和CPAP监测及持续评估(46.6%)。结论CPAP应用实践在启动CPAP前的初始护理、CPAP的设置、CPAP装置的固定方法等方面做得很好。然而，在将鼻尖系统连接到新生儿，为婴儿进行CPAP准备，进行CPAP故障排除的安全检查，CPAP监测和持续评估方面的实践很差。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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