Heart Rate Response to Suctioning in Neonates on Nasal Continuous Positive Airway Pressure
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Publisher:The Ohio State University
Series/Report no.:The Ohio State University. College of Nursing Honors Theses; 2015
Placing respiratory compromised neonates on Nasal Continuous Positive Airway Pressure (NCPAP) is becoming a more popular method of ventilation than other options, such as mechanical ventilation. The estimated number of infants affected by respiratory distress syndrome is between 20,000 and 30,000 infants per year and these infants are commonly placed on NCPAP. There is currently no existing evidenced-based practice for suctioning procedures for neonates on NCPAP. The accuracy and timeliness of the nurse assessing and determining the need to suction to maintain the airway of the neonate is crucial as to whether or not the NPCAP will be successful. The lack of evidence in suctioning NCPAP neonates has led to discontinuity across NICUs performing this procedure. The purpose of this study is to characterize the variability in heart rate when suctioning neonates on NCPAP. A descriptive design will be used to study 15 recruited NICU babies on NCPAP from the Ohio State Wexner Medical Center. This is a descriptive pilot study where data will be collected from observing infant clinical and behavioral responses to typical care while on Bubble NCPAP. Heart rate, respiratory rate, and oxygen saturation observations will be recorded 5 minutes pre-suctioning, during suctioning, immediately after suctioning, and 10 minutes after suctioning or return to 10% of the neonate’s baseline physiological parameters. The neonates PIPP score will be evaluated prior to suctioning and after the suctioning care. Descriptive analysis will be used to determine the neonates heart rate changes and to categorize these changes by type and gestational age. We hope that this project will provide a basis of knowledge for prospective solutions for decreasing heart rate variability in neonates on NCPAP.
Academic Major: Nursing
National Association of Neonatal Nursing