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  • Prophylactic dressings for preventing nasal pressure ulcer in premature newborns: an effectiveness review
    Publication . Viero, Cibelle Mello; Alves, Paulo Jorge Pereira; Munhoz, Oclaris Lopes; Cabral, Thaynan Silveira; Galvão, Cristina Maria; Costa, Valdecir Zavarese da; Eberhardt, Thaís Dresch; Franco, Matheus Silvelo; Lima, Suzinara Beatriz Soares de
    OBJECTIVE: To evaluate the effectiveness of prophylactic dressings for preventing nasal pressure ulcer in newborns using respiratory medical devices. METHOD: Systematic review of effectiveness, according to the JBI methodology. Studies involving newborns using respiratory medical devices who received prophylactic dressing intervention were included. Descriptive synthesis and network meta-analysis were performed. Registration PROSPERO CRD42024516296. RESULTS: Twelve studies were included, with a total of 1,001 newborns. The use of 1.8 mm silicone reduces the risk of nasal pressure ulcer, 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 not intervening (RR 0.29; 95% CI = 0.09, 0.85), as well as the use of hydrocolloid reduces the risk of injury when compared to the plug (RR 0.28; 95% CI = 0.14, 0.56) and not intervening (RR 0.60; 95% CI = 0.38, 0.93). CONCLUSION: Prophylactic dressings, especially 1.8 mm silicone gel and hydrocolloid, are effective in preventing nasal pressure ulcers in premature newborns using respiratory devices.
    2025-01-01Artigo de investigação Acesso aberto Ver mais