Iatrogenic Nasal Vestibular Stenosis: A Rare Cause of Apnea
Journal Title: Journal of Quality in Health Care & Economics (JQHE) - Year 2018, Vol 1, Issue 1
Abstract
Nasal vestibular stenosis is a rare complication following supportive care in premature infants, causing airway and feeding difficulties in the obligate nasal breather. The imputation of the nasal continuous positive airway pressure (CPAP) in this type of complication has been increasingly described since this ventilatory mode provides an effective alternative and is routinely used at many neonatal resuscitation care units (NRCU). In the present study we describe a case of a premature neonate with severe apneas since the age of 21 days due to iatrogenic nasal synechia, following use of nasal CPAP for respiratory distress that was successfully repaired with endoscopic lysis and repeated dilatations.
Authors and Affiliations
Nasal vestibular stenosis is a rare complication following supportive care in premature infants, causing airway and feeding difficulties in the obligate nasal breather. The imputation of the nasal continuous positive airway pressure (CPAP) in this type of complication has been increasingly described since this ventilatory mode provides an effective alternative and is routinely used at many neonatal resuscitation care units (NRCU). In the present study we describe a case of a premature neonate with severe apneas since the age of 21 days due to iatrogenic nasal synechia, following use of nasal CPAP for respiratory distress that was successfully repaired with endoscopic lysis and repeated dilatations.
Brief Analysis on Violence against Children and Adolescents
In 2015, violence was the cause of more than 82 thousand deaths of children and adolescents in the same 10 to 19 age group, of which 24.5 thousand were in Latin America and the Caribbean.
The Deliberate Way of Comprehensive Antenatal Care
In the past old days all pregnancy care was confined to the time of delivery. This is why there were high mortality and morbidity of both mothers and their babies. The concept of antenatal care was introduced in order...
A New Social Injustice: Dying Waiting for a Donated Organ
We are nineteen years into the 21st century and patients’ mortality rate on waiting lists has increased every year. Undoubtedly, the main factor of this crisis is the persistent insufficient social attitude towards d...
General Medicine-Based Quality Electronic Clinical Record
The most common form of narration or biography of the disease consists of the clinical history and the annotations of the clinicians. The increasing availability of data stored in electronic health records brings substa...
Accessibility to Medicines in Khartoum State, Sudan
Problem Statement: High medicines prices and unavailability of vital items in all medicine outlets of Khartoum State denied patients from getting one aspect of their basic human rights, health services. However, investi...