Nasal trauma from nasal cannulae versus CPAP

A randomized trial compared the incidence and severity of nasal trauma in preterm infants less than 32 weeks gestation managed with either nasal CPAP or with heated humidified high-flow nasal cannulae in the seven days after extubation. Nasal trauma was identified and scored using a specially devised nasal trauma score that was obtained three times a day. The mean nasal trauma score was significantly lower (2.8) for the infants treated with nasal cannulae compared to those treated with CPAP (11.7). As a sub-question this study compared, in infants receiving CPAP, nasal trauma scores with two types of commercial nasal dressings and found no difference between the two.

A comparison of nasal trauma in preterm infants extubated to heated humidified high-flow nasal cannulae or nasal CPAP. Collins et al, 2014.