The Science Journal of the American Association for Respiratory Care

2012 OPEN FORUM Abstracts

THE RAM CANNULA CAN HELP TO REDUCE FACIAL TISSUE AND NASAL SEPTAL EROSION FOR THE NEONATAL PATIENT REQUIRING NIMV AND NCPAP.

Elena R. Lennon, Alfonse Quinones, Rachael Permell, Jennifer Shelly; Respiratory Therapy, North Shore University, Manhasset, NY

PURPOSE: Nasal Intermittent Mandatory Ventilation (NIMV) and Nasal Continuous Positive Airway Pressure (CPAP) are ventilatory modes used quite frequently in lieu of intubation in the neonatal population. Unfortunately, the nasal interface used can be quite hazardous to the neonatal patient causing nasal septum erosion. In our neonatal unit we wanted to reduce the rate of injury and severity of facial and nasal septal erosion. Upon literature review we discovered the Ram Cannula made by Neotech Products Inc, a new nasal interface for the neonatal patient to deliver NIMV and CPAP. METHODS: In a three month period 83 RDS neonates with 93 occurrences for ventilator support were treated with the Ram Cannula. The staff tracked; gestational age, diagnosis, ventilator type, length of therapy time, any adverse effects such as increasing FIO2 requirements, inability to maintain pressures, changes in vital signs and presence of any facial tissue irritations and nasal septal breakdowns. RESULTS: The data showed that for 83 patients there were 11 cases of redness that all resolved within hours of repositioning the cannula. There were no other adverse effects. Our rate of facial tissue and nasal septal erosion was zero with Ram Cannula. We then compared this data to the previous yearÂ’s data. We found that the previous year there were 4 cases of nasal septal damage (that required surgical intervention) and 10 reports of skin redness. CONCLUSIONS: With the use of the Ram Cannula we have reached our goal: zero facial tissue and nasal septal erosion. While doing this study the staff found that the Ram Cannula was very convenient to use, kangaroo care was much easier to provide, and the cost is considerably less than traditional positive pressure devices. Sponsored Research - None