title: The Pressure Is On!: Neonatal Skin and Nasal Continuous Positive Airway Pressure.
abstract: BACKGROUND
  Premature infants have an increased risk for developing skin breakdown. Perceivably noninvasive interventions may have detrimental effects on the infant's skin.
  
  
  OBJECTIVE
  This case presentation describes an extreme case of nasal breakdown associated with nasal continuous positive airway pressure (nCPAP).
  
  
  METHODS
  Highlighted is the vital importance of proper placement, along with appropriate apparatus size, in the efforts to prevent skin breakdown. Ensuring that pressure points are avoided is imperative to prevent nCPAP-related injuries, along with treating the area in the event of skin denudation. A literature search was conducted to determine best practice options to prevent these injuries.
  
  
  RESULTS
  There is little information in the literature to guide treatment and prevention of this type of breakdown.
  
  
  CONCLUSIONS
  Avoidance of pressure in a localized area is the most commonly found recommendation.
  
  
  CONCLUSIONS
  There are extensive opportunities for adding to our current knowledge in terms of prevention and treatment of skin breakdown associated with device utilization in the neonatal intensive care unit, especially with the increasing use of nCPAP.
authors.affiliation: Neonatal Intensive Care Unit, University of Virginia Health System, Charlottesville.
authors.forename: Daniele
authors.initials: D
authors.lastname: Ottinger
authors.forename: Jamie
authors.initials: J
authors.lastname: Hicks
authors.forename: Sarah
authors.initials: S
authors.lastname: Wilson
authors.forename: Kim
authors.initials: K
authors.lastname: Sperber
authors.forename: Keely
authors.initials: K
authors.lastname: Power
mesh_terms: D045422:Continuous Positive Airway Pressure / Q000379:methods*; D005260:Female; D006801:Humans; D052577:Infant, Extremely Low Birth Weight; D062071:Infant, Extremely Premature; D007231:Infant, Newborn; D008397:Masks / Q000009:adverse effects*; D009668:Nose Diseases / Q000209:etiology* / Q000517:prevention & control / Q000628:therapy; D011247:Pregnancy; D003668:Pressure Ulcer / Q000209:etiology* / Q000517:prevention & control / Q000628:therapy; D017592:Skin Care; D055815:Young Adult