PL EN
RESEARCH PAPER
Persistent Pulmonary Hypertension in Newborns – selected aspects of nursing care in Polish and Australian Neonatal Intensive Care Units
 
More details
Hide details
1
Zakład Pediatrii Społecznej, Katedra Pielęgniarstwa Pediatrycznego, Wydział Nauk o Zdrowiu, Uniwersytet Medyczny, Wrocław
 
 
Corresponding author
Anna Rozensztrauch   

Katedra Pielęgniarstwa Pediatrycznego, Wydział Nauk o Zdrowiu, Uniwersytet Medyczny we Wrocławiu, ul. Bartla 5, 51‑618 Wrocław, Tel.: 503 585 939
 
 
Med Og Nauk Zdr. 2015;21(3):303-306
 
KEYWORDS
ABSTRACT
Introduction:
Introduction. Newborns diagnosed with persistent pulmonary hypertension (PPHN) are among the ‘most difficult’ patients of Neonatal Intensive Care Units (NICU). Despite tremendous progress in neonatology, the mortality among infants with PPHN is still high, and the process of treatment of respiratory failure is much more complicated than before. Understanding the nature of the disease and the importance of proper care has significant impact on the healing process.

Objective:
The aim of the study is to discuss the standards of nursing of newborns with persistent pulmonary hypertension. The paper presents various aspects of care of the child with PPHN in Polish and Australian Neonatal Units.

Summary of current knowledge:
A newborn with pulmonary hypertension syndrome requires professional and experienced medical and nursing teams. The assessment of general ‘health status’, combined with clinical history, clinical symptoms, oxygen saturation level and arterial blood gases, helps to assess the condition of the child. The ability to recognize the distressing symptoms of respiratory system failure is important for assessing the efficiency of conducted ventilation.

Summary:
The principle of minimal handling in the care of newborns with PPHN is of the uttermost importance. Maintaining organized and coordinated care is essential. It is also important to ensure security and peace for a newborn baby with PPHN. Continuous monitoring of vital signs, such as blood pressure or oxygen saturation levels, reduces the necessity for manipulation, thus providing the infant with calm and security.

REFERENCES (15)
1.
Gajewska E. Wentylacja nieinwazyjna u noworodków. Warszawa: PZWL; 2012; 67–70, 237.
 
2.
Watchko JF. Persistent pulmonary hypertension in a very low birthweight preterm infant. Clin Pediatr (Phila). 1985; 24(10): 592–5.
 
3.
Walas W, Kornacka M, Świetliński J. Zespół przetrwałego nadciśnienia płucnego noworodków. Warszawa: MediPage; 2012; 7–25.
 
4.
Adams J. Persistent pulmonary hypertension of the newborn http:// www.uptodate.com/contents/persistent-pulmonary-hypertension-of¬-the-newborn (dostęp 2014.04.11).
 
5.
Puthiyachirakkal M, Mhanna MJ. Pathophysiology, Management, and Outcome of Persistent Pulmonary Hypertension of the Newborn: A Clinical Review. Front Pediatr. 2013; 1: 23.
 
6.
The Neonatal Inhaled Nitric Oxide Study Group. Inhaled Nitric Oxide in Full-Term and Nearly Full-Term Infants with Hypoxic Respiratory Failure. N Engl J Med. 1997; 336: 597–604.
 
7.
Piotrowski A. Niewydolność oddechowa noworodków – zapobieganie i leczenie. Wyd. III poszerzone i uzup. Bielsko-Biała: Alfa Medica Press; 2011; 35–36.
 
8.
Gadzinowski J, Sierzputowska-Pieczara. Rekomendacje dotyczące postępowania w przetrwałym nadciśnieniu płucnym noworodków. W: Maria Katarzyna Borszewska-Kornacka MK. Standardy opieki medycznej nad noworodkiem w Polsce. Zalecenia Polskiego Towarzy¬stwa Neonatologicznego. Warszawa: Media Press; 2015.
 
9.
Cloherty J, Eichenwald E, Stark A. Manual of neonatal care. Wyd 6. Philadelphia: Lippincott Williams and Wilkins; 2010; 362.
 
10.
Jevon P, Ewens B. Monitoring the Critical ill Patient. Malden: Blackwell Publishing; 2002; 1–3, 31–32.
 
11.
Merenstein G, Gardner S. Neonatal Intensive Care. Wyd 6. Missouri: Mosby Elsevier; 2006; 666.
 
12.
Pilewska Kozak A. Opieka nad wcześniakiem. Warszawa: PZWL; 2009; 177.
 
13.
Szczapa J. Podstawy neonatologii. Warszawa: PZWL; 2010; 143.
 
14.
Borkowski W. Opieka pielęgniarska nad noworodkiem. Kraków: Medycyna Praktyczna; 2007; 217–219.
 
15.
Gomella T, Cunningham D, MD, Eyal F, Zenk K. Neonatology: Management, Procedures, On – Call Problems, Diseases, and Drugs. Wyd 5. USA: The Mcgraw-Hill Companies; 2004; 364–370.
 
eISSN:2084-4905
ISSN:2083-4543
Journals System - logo
Scroll to top