Persistent Pulmonary Hypertension in Newborns – selected aspects of nursing care in Polish and Australian Neonatal Intensive Care Units
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Zakład Pediatrii Społecznej, Katedra Pielęgniarstwa Pediatrycznego, Wydział Nauk o Zdrowiu, Uniwersytet Medyczny, Wrocław
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
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.

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.

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.

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