الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 76 |  |  |
| | | from | 76 | | |
Abstract
Lack of proper monitoring during nasal CPAP (NCPAP) application can lead to multiple complications and side effects. The nose is usually affected and nasal injuries of multiple grades are from the commonest NCPAP related complications. our main objectives of this quality improvement (QI) project were to improve assessments and standardize care provided to infants receiving pulmonary support via NCPAP and to reduce iatrogenic nasal injury complications associated with NCPAP use. The study was conducted in Neonatal Intensive Care Unit (NICU) of Mansoura University Children Hospital (MUCH) in the period between September 2018 to October 2019. The study was divided into three phases; six months before and six months after implication of the nasal trauma prevention bundle in addition to two months to train the nursing stuff before implication of our nasal trauma prevention bundle. The results of this study revealed that: 1. The median duration on CPAP, median duration of mechanical ventilation (Days) and median length of hospital stay (Days) were longer in the before intervention group, but it didn’t reach a statistically significant value. 2. There is a statistically significant decrease in the incidence of nasal injury after application of prevention program. 3. There was no statistically significant difference between the cases according to the GA in the different stages of nasal injury. 4. The incidence of nasal injury was higher and the duration on CPAP was longer in the cases with ELBW as compared with other groups. 5. The incidence of nasal injury/1000 days in the before intervention group was statistically significantly higher as compared with the after intervention group. 6. The Incidence of nasal injury every month in the before intervention group was statistically significantly higher as compared with the after intervention group. 7. There was no statistically significant difference between the two study groups as regard the basic demographic and clinical criteria. 8. Respiratory distress syndrome was the most common indication for application of NCPAP. Also, there was no statistically significant difference between the two groups regarding the indication for NCPAP.