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Taburculuğa Hazırlanan Preterm İnfantlarda Kritik Olmayan Morfolojik Deformiteler

Year 2019, Volume: 9 Issue: 1, 16 - 21, 20.03.2019
https://doi.org/10.31832/smj.483323

Abstract




Giriş:
Bu çalışmada yenidoğan yoğun bakım kliniğinde izlenen preterm infantlarda
tedavileri sırasında ortaya çıkan ve taburcu sırasında devam eden kritik
olmayan hasarları ve risk faktörlerini değerlendirmek amaçlanmıştır.




Gereç
ve Yöntem:
Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi
yenidoğan yoğun bakım ünitesinde 2011 ile 2017 arasında tedavi edilen ≤32 hafta
preterm bebeklerin tedaviye bağlı olduğu düşünülen deformiteleri ve risk
faktörleri retrospektif olarak kaydedildi.




Bulgular:
Çalışmada 1040 preterm infant retrospektif olarak değerlendirildi. En sık
görülen deformite kafatası şekil bozukluğu idi (%14.4). Nazal Sürekli Pozitif
Havayolu Basıncı (nCPAP)’a bağlı nazal deformasyon (%13.8) ikinci sıklıkta
gözlendi. En sık risk faktörü sürekli sabit pozisyon ve nCPAP uygulaması idi.




Sonuç:
Preterm
infantların yaşam şansları arttıkça deformasyona neden olabilecek enstürmanlarla
karşılaşmaları da artmaktadır. Başlangıçta bebeklerinin yaşadığının sevincinde
olan ebeveynler bu problemleri sorun etmese de bu infantlar büyüdüğünde onlarda
psikolojik sorunlara neden olabileceği unutulmamalı ve bu deformasyon oluşumunu
önleyebilmek için gerekli özen gösterilmelidir.




References

  • Referans1: Enomoto M, Sezaki H, Muranishi R, Sato Y, Kikuchi S, Katayama Y et al. Acquired palatal groove and delayed oral feeding in preterm infants. Pediatr Int. 2017; 59:171-175.Referans2: Cortines AAO, Costa LR. Associated factors and persistence of palatal groove in preterm infants: a cohort study. BMC Pediatr. 2016; 16:143. Referans3:Molteni RA, Bumstread DH. Development and severity of palatal grooves in orally intubated newborns. Am J Dis Child 1986; 140:357-359.Referans4:Laughlin J, Luerssen TG, Dias MS. Committee on Practice and Ambulatory Medicine, Section on Neurological Surgery: Prevention and management of positional skull deformities in infants. Pediatrics 2011; 128:1236-1241.Referans5: Imbulana DI, Manley BJ, Dawson JA, Davis PG, Owen LS. Nasal injury in preterm infants receiving non-invasive respiratory support: a systematic review. Arch Dis Child Fetal Neonatal Ed. 2018; 103: F29-F35.Referans6: Günlemez A, Isken T, Gökalp AS, Türker G, Arisoy EA. Effect of silicon gel sheeting in nasal injury associated with nasal CPAP in preterm infants. Indian Pediatr. 2010; 47: 265-267.Referans7: Robertson NJ, McCarthy LS, Hamilton PA, Moss AL. Nasal deformities resulting from flow driver continuous positive airway pressure. Arch Dis Child Fetal Neonatal Ed 1996;75: 209-212.Referans8: Yong SC, Chen SJ, Boo NY. Incidence of nasal trauma associated with nasal prong versus nasal mask during continuous positive airway pressure treatment in very low birthweight infants: a randomised control study. Arch Dis Child Fetal Neonatal Ed 2005; 90:480-483.Referans9:Buettiker V, Hug MI, Baenziger O, Meyer C, Frey B. Advantages and disadvantages of different nasal CPAP systems in newborns. Intensive Care Med 2004; 30:926-930.Referans10:Shanmugananda K, Rawal J. Nasal trauma due to nasal continuous positive airway pressure in newborns. Arch Dis Child Fetal Neonatal Ed 2007; 92: 18.Referans11:Foster SJ. Nasal deformities arising from flow driver continuous positive airway pressure. Arch Dis Child Fetal Neonatal Ed 1998; 78:157-158.Referans12: Smedsaas-Lofvenberg A, Faxelius G, Axelsson I, Lagercrantz H. Nasal deformities at a UK hospital. Arch Dis Child Fetal Neonatal Ed 1998; 78:158.Referans13: Kopelman AE, Holbert D. Use of oxygen cannulas in extremely low birthweight infants is associated with mucosal trauma and bleeding, and possibly with coagulase-negative staphylococcal sepsis. J Perinatol 2003; 23:94-97.Referans14: Loftus B.C, Ahn J, Haddad Jr J, Neonatal nasal deformities secondary to nasal continuous positive airway pressure, Laryngoscope 1994; 104:1019—1022.Referans15:Eifinger F, Lang-Roth R, Woelfl M, Kribs A, Roth B. Auricular seroma in a preterm infant as severe complication of nasal continuous positiveairway pressure (nCPAP). Int J Pediatr Otorhinolaryngol. 2005; 69: 407-410.Referans16:Rosenfeld W.N.,Linshaw M., Fox H.A. Water intoxication: a complication of nebulization with nasal CPAP, J. Pediatr. 1976; 89:113—114.Referans17:Whitelaw A, Aquilina K. Management of posthaemorrhagic ventricular dilatation. Arch Dis Child Fetal Neonatal Ed. 2012; 97: F229-233.Referans18:Lam HP, Heilman CB. Ventricular Access device versus ventriculosubgaleal shunt in post hemorrhagic hydrocephalus associated with prematurity. I Matern Fetal Neonatal Med. 2009; 22 :1097-1101.Referans19:Chen TK, Yang CY, Chem SJ.Chen SJ. Calcinosis cutis complicated by compartment syndrome following extravasation of calcium gluconate in neonate: a case report. Pediatr Neonatol. 2010; 5:238-241Referans20:Moss J, Syrengelas A, Antaya R, Lazova R. Calcinosis cutis: a complication of intravenous administration of calcium gluconate. J Cutan Pathol 2006; 3: 60−62.Referans21:Millard TP, Harris AJ, MacDonald DM. Calcinosis cutis following intravenous infusion of calcium gluconate. Br J Dermatol 1999; 140:184−186.Referans22:Mu SC, Lin CH, Sung TC. Calcinosis cutis following extravasation of calcium gluconate in neonates. Acta Paediatr Taiwan 1999; 40:34−35Referans23:Chiang MC, Chou YH, Wang CR, Huang CC. Extravasation of calcium gluconate concomitant with osteomyelitis in a neonate. Acta Paediatr Taiwan 2004; 45:35−37.Referans24: Arora A, Agarwal A, Kumar S, Gupta SK. Iatrogenic calcinosis cutis: a rare differential diagnosis of soft-tissue infection in a neonate-a case report. J Orthop Surg 2005; 13:195−198.Referans25: Soon SL, Chen S, Warshaw E, Caughman SW. Calcinosis cutis as a complication of parenteral calcium gluconate therapy. J Pediatr 2001; 138:778.
Year 2019, Volume: 9 Issue: 1, 16 - 21, 20.03.2019
https://doi.org/10.31832/smj.483323

Abstract

References

  • Referans1: Enomoto M, Sezaki H, Muranishi R, Sato Y, Kikuchi S, Katayama Y et al. Acquired palatal groove and delayed oral feeding in preterm infants. Pediatr Int. 2017; 59:171-175.Referans2: Cortines AAO, Costa LR. Associated factors and persistence of palatal groove in preterm infants: a cohort study. BMC Pediatr. 2016; 16:143. Referans3:Molteni RA, Bumstread DH. Development and severity of palatal grooves in orally intubated newborns. Am J Dis Child 1986; 140:357-359.Referans4:Laughlin J, Luerssen TG, Dias MS. Committee on Practice and Ambulatory Medicine, Section on Neurological Surgery: Prevention and management of positional skull deformities in infants. Pediatrics 2011; 128:1236-1241.Referans5: Imbulana DI, Manley BJ, Dawson JA, Davis PG, Owen LS. Nasal injury in preterm infants receiving non-invasive respiratory support: a systematic review. Arch Dis Child Fetal Neonatal Ed. 2018; 103: F29-F35.Referans6: Günlemez A, Isken T, Gökalp AS, Türker G, Arisoy EA. Effect of silicon gel sheeting in nasal injury associated with nasal CPAP in preterm infants. Indian Pediatr. 2010; 47: 265-267.Referans7: Robertson NJ, McCarthy LS, Hamilton PA, Moss AL. Nasal deformities resulting from flow driver continuous positive airway pressure. Arch Dis Child Fetal Neonatal Ed 1996;75: 209-212.Referans8: Yong SC, Chen SJ, Boo NY. Incidence of nasal trauma associated with nasal prong versus nasal mask during continuous positive airway pressure treatment in very low birthweight infants: a randomised control study. Arch Dis Child Fetal Neonatal Ed 2005; 90:480-483.Referans9:Buettiker V, Hug MI, Baenziger O, Meyer C, Frey B. Advantages and disadvantages of different nasal CPAP systems in newborns. Intensive Care Med 2004; 30:926-930.Referans10:Shanmugananda K, Rawal J. Nasal trauma due to nasal continuous positive airway pressure in newborns. Arch Dis Child Fetal Neonatal Ed 2007; 92: 18.Referans11:Foster SJ. Nasal deformities arising from flow driver continuous positive airway pressure. Arch Dis Child Fetal Neonatal Ed 1998; 78:157-158.Referans12: Smedsaas-Lofvenberg A, Faxelius G, Axelsson I, Lagercrantz H. Nasal deformities at a UK hospital. Arch Dis Child Fetal Neonatal Ed 1998; 78:158.Referans13: Kopelman AE, Holbert D. Use of oxygen cannulas in extremely low birthweight infants is associated with mucosal trauma and bleeding, and possibly with coagulase-negative staphylococcal sepsis. J Perinatol 2003; 23:94-97.Referans14: Loftus B.C, Ahn J, Haddad Jr J, Neonatal nasal deformities secondary to nasal continuous positive airway pressure, Laryngoscope 1994; 104:1019—1022.Referans15:Eifinger F, Lang-Roth R, Woelfl M, Kribs A, Roth B. Auricular seroma in a preterm infant as severe complication of nasal continuous positiveairway pressure (nCPAP). Int J Pediatr Otorhinolaryngol. 2005; 69: 407-410.Referans16:Rosenfeld W.N.,Linshaw M., Fox H.A. Water intoxication: a complication of nebulization with nasal CPAP, J. Pediatr. 1976; 89:113—114.Referans17:Whitelaw A, Aquilina K. Management of posthaemorrhagic ventricular dilatation. Arch Dis Child Fetal Neonatal Ed. 2012; 97: F229-233.Referans18:Lam HP, Heilman CB. Ventricular Access device versus ventriculosubgaleal shunt in post hemorrhagic hydrocephalus associated with prematurity. I Matern Fetal Neonatal Med. 2009; 22 :1097-1101.Referans19:Chen TK, Yang CY, Chem SJ.Chen SJ. Calcinosis cutis complicated by compartment syndrome following extravasation of calcium gluconate in neonate: a case report. Pediatr Neonatol. 2010; 5:238-241Referans20:Moss J, Syrengelas A, Antaya R, Lazova R. Calcinosis cutis: a complication of intravenous administration of calcium gluconate. J Cutan Pathol 2006; 3: 60−62.Referans21:Millard TP, Harris AJ, MacDonald DM. Calcinosis cutis following intravenous infusion of calcium gluconate. Br J Dermatol 1999; 140:184−186.Referans22:Mu SC, Lin CH, Sung TC. Calcinosis cutis following extravasation of calcium gluconate in neonates. Acta Paediatr Taiwan 1999; 40:34−35Referans23:Chiang MC, Chou YH, Wang CR, Huang CC. Extravasation of calcium gluconate concomitant with osteomyelitis in a neonate. Acta Paediatr Taiwan 2004; 45:35−37.Referans24: Arora A, Agarwal A, Kumar S, Gupta SK. Iatrogenic calcinosis cutis: a rare differential diagnosis of soft-tissue infection in a neonate-a case report. J Orthop Surg 2005; 13:195−198.Referans25: Soon SL, Chen S, Warshaw E, Caughman SW. Calcinosis cutis as a complication of parenteral calcium gluconate therapy. J Pediatr 2001; 138:778.
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Details

Primary Language Turkish
Journal Section Articles
Authors

Nuriye Tarakçı 0000-0003-2444-4725

Hüseyin Altunhan 0000-0003-0264-8671

Publication Date March 20, 2019
Submission Date November 15, 2018
Published in Issue Year 2019 Volume: 9 Issue: 1

Cite

AMA Tarakçı N, Altunhan H. Taburculuğa Hazırlanan Preterm İnfantlarda Kritik Olmayan Morfolojik Deformiteler. Sakarya Tıp Dergisi. March 2019;9(1):16-21. doi:10.31832/smj.483323

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