NURSING OF VIA NASAL CPAP TREATMENT OF NEWBORNS WITH
RESPIRATORY FAILURE
Wu L-Y, Zhong A-L, Wu
J, Yang F
The Second Hospital
of Xiang-Ya School of Medicine, Central South University, Changsha, China
Objective: To
explore the nursing and respiratory support of via nasal continuous
positive airway pressure (CPAP) to newborns with respiratory failure.
Methods: To analyze
the data of via nasal CPAP treatment and nursing of the 32 cases with
respiratory failure.
Results: 26
cases (81.2%) were successfully treated, 4 cases (12.5%) improved to 2
cases (6.3%) who failed to respond to nasal CPAP. The whole effective rate
was 93.7%. 25 in 32 cases (78.1%) received nasal CPAP for less than 72
hours (median treatment duration 62.17±68.42 hours, range 5
hours to 14 days). All patients’ oxygen saturation were monitored
continuously and dynamicly and it was significantly higher after
introduction of nasal CPAP (94.62%±2.52% vs 73.81%±8.81%,
t=-10.57, P<0.01).
The blood gas analysis of 26 cases were detected before and two hours after
CPAP. The PaO2 was significantly higher after introduction of
nasal CPAP (t= -21.629, P<0.01),
while the PaCO2 did not have difference (t=-2.047, P>0.05).
Conclusion:
Elaborative nursing, effective and rational regulation of nasal CPAP
parameter were the key of successful treatment of nasal CPAP to newborns
with respiratory failure. It was a satisfactory equipment that contacting
the nasal CPAP with respirator.