Comparative Analysis Between Two Models of Short Binasal Prongs Used in Newborns Subjected to Non-Invasive Ventilation

Abstract

The goal of this study was to compare the effects of using short binasal prongs with straight and coude insertion catheters on the incidence and severity of nasal injury in newborns (NBs) subjected to non-invasive ventilation (NIV). Data on nasal injury incidence and severity in newborns needing NIV with short binasal prongs with straight or coude catheters were collected in the Neonatal Intensive Care Unit of a public hospital in southern Brazil, for three years. A total of 134 NBs participated in the study. Of those, 113 used binasal prongs with straight insertion catheters (PSC Group), and 21 newborns used coude insertion catheters (PCC Group). Nasal injury was found in 53.1% of the PSC group, and in 42.9% of the PCC group (p = 0.53). In the PSC group, 53 injuries were classified as Stage I, and 7 as Stage II. In the PCC group, all 9 injuries were Stage I. It can be concluded that there was no difference in nasal injury incidence or severity whether using prongs with straight or coude insertion catheters.