Effect of Humidified Noninvasive Ventilation on the Development of Facial Skin Breakdown

Respiratory Care
Jaber Saud AlqahtaniDavid Voegeli

Abstract

The use of noninvasive ventilation masks is known to cause damage to facial skin tissue, which affects both the efficacy of the intervention and the patient's quality of life. The use of humidification with noninvasive ventilation is a common practice, but its relative role in the development of facial pressure ulcers has not been fully studied. A crossover cohort design was used in this study, with 15 healthy volunteers. Each volunteer randomly received both 10 cm H2O of CPAP with and without humidification through an oronasal mask. Skin integrity was evaluated by measuring transepidermal water loss, skin hydration, and skin pH at the bridge of the nose. Device-skin interface conditions (pressure and microclimate) were recorded at the bridge of the nose and both cheeks. The pro-inflammatory cytokine interleukin-1α was collected from the nose bridge before and after CPAP application by using a skin analysis tape. Nasal symptoms were collected by using a validated 6-point score. Humidified CPAP significantly increased transepidermal water loss (P < .001) and skin humidity (P = .02) compared with non-humidified CPAP. There were no significant differences in skin hydration, skin pH, skin temperature, and cytokine expression betwee...Continue Reading

Citations

Feb 19, 2020·Journal of Wound Care·Amit GefenPeter Worsley
Mar 10, 2020·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Mikel Gray
Sep 25, 2020·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Sofoklis KoudounasDavid Voegeli
Dec 29, 2020·Frontiers in Pediatrics·Rosario Ferreira
May 5, 2020·Heart & Lung : the Journal of Critical Care·Jaber S AlqahtaniYaseen M Arabi

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