Preemie Nasal Prongs
Preemie Nasal Prongs
Introduction
Specialized respiratory support devices designed for premature infants, delivering continuous positive airway pressure (CPAP) or supplemental oxygen through bilateral nasal cannulas.
Technical Specifications
- Size Range:
- Extra Small: 2-3mm outer diameter
- Small: 3-4mm outer diameter
- Medium: 4-5mm outer diameter
- Material Composition:
- Medical-grade silicone
- Latex-free construction
- Biocompatible materials
- Transparent for visualization
Clinical Applications
- Primary Uses:
- Delivery of CPAP therapy
- Oxygen supplementation
- Respiratory support post-extubation
- Management of apnea of prematurity
- Flow Settings:
- Recommended flow rates: 4-8 L/min
- CPAP pressures: 4-8 cm H2O
- FiO2 titration capabilities
Assessment Parameters
- Proper Fit Assessment:
- Nasal septum integrity
- Prong position in nares
- Distance from septum
- Secure fixation without pressure
- Monitoring Requirements:
- Continuous SpO2 monitoring
- Respiratory rate assessment
- Work of breathing evaluation
- Skin integrity checks
Complications and Prevention
- Common Complications:
- Nasal septal injury
- Pressure necrosis
- Nostril deformation
- Facial irritation
- Preventive Measures:
- Regular position changes
- Proper size selection
- Use of protective barriers
- Frequent skin assessment
- Maintaining optimal humidity
Nursing Care Guidelines
- Routine Care:
- Q3h position changes
- Prong cleaning protocol
- Securement device maintenance
- Documentation requirements
- Emergency Protocols:
- Displacement management
- Circuit disconnection response
- Backup equipment availability
Documentation Requirements
- Flow rates and pressures
- FiO2 settings
- Skin assessment findings
- Position changes
- Respiratory parameters
- Equipment changes
