EFFECTIVENESS OF PROPHYLACTIC DRESSINGS FOR PREVENTION OF NASAL PRESSURE INJURY IN NEONATES: A SYSTEMATIC REVIEW WITH NETWORK META-ANALYSIS

Activity: Supervision

Description

studies, and one case-control study. Network meta-analysis revealed that routine care increases the risk of nasal pressure injuries compared to 1.8 mm silicone gel (RR 5.10; 95% CI = 1.48, 17.61) and hydrocolloid dressings (RR 2.46; 95% CI = 1.63, 3.71), as well as 0.9 mm silicone gel compared to 1.8 mm silicone gel (RR 4.65; 95% CI = 1.11, 19.53). It was also observed that the use of 1.8 mm silicone gel reduces the risk of nasal pressure injuries compared to paraffin oil (RR -0.13; 95% CI = -0.02, -0.89), nasal plug (RR -0.13; 95% CI = -0.03, -0.53), and no intervention (RR -0.29; 95% CI = -0.09, -0.85), and that hydrocolloid dressings reduce the risk of injury when compared to nasal plug (RR -0.28; 95% CI = -0.14, -0.56) and no intervention (RR -0.60; 95% CI = -0.38, -0.93). Therefore, beneficial effects were identified regarding the impact of prophylactic dressings in preventing nasal injuries in premature neonates using respiratory devices. The network meta-analysis demonstrated that the use of hydrocolloid and 1.8 mm silicone gel dressings was effective in reducing this condition.
Keywords: Pressure ulcer. Infant newborn. Intensive care units neonatal. Review. Evidence-based practice.
Period13 Dec 2024
Held atUniversidade Federal de Santa Maria, Brazil
Degree of RecognitionPhD

Keywords

  • Pressure Ulcers
  • Intensive Care
  • new born