Bubble CPAP vs Nasal CPAP

[Guest sageaugie]

We have Drager Babylog 8000plus in our unit for Mechanical Ventilation. Now we intend to acquire CPAP unit.

My concerns

1. Bubble CPAP or Nasal CPAP? Is there any convincing evidence that the former superior to the latter? The former is more expensive though.

2.Can you recommend any particular unit? I have seen demonstrations from F & P ( Bubble) and Phoenix ( Nasal).

[Dinesh N Patel]

Dear sageaugie,

Bubble CPAP is also one type of nasal CPAP .In our unit we have both Dragger Baby log and F & P bubble CPAP ,both are working equally well,but we preferred bubble CPAP and keep Babylog free for Mechanical ventilation.I have no experence of Phonix Nasal CPAP.

Dinesh

[Guest sageaugie]

Thank you Dinesh! Do you use a blender with F& P CPAP?

[Dinesh N Patel]

yes,I use blender(Bird) with F & P bubble CPAP. It works wonderfully.

[dr mir]

hi we are buying a fennon bubble cpap its going to be the first one in our city. currently we use manual cpap that too after a long disscusion on 99nicu where others were also using the manual cpap. our experience with manual has been good . we just know things theoretically about mechanical cpap ,we use respiratory rate ,resp distress(recessions ,nasal flaring ) spo2 as parameters we dont have abg, fio etc .our efforts are towards making a start.plz do share anything that may help .thanks

[JACK]

Actually whether you use a costly readymade company provided Bubble CPAP apparatus or make a cheap homemade CPAP device - doesn't matter ...the end result is the same for the patient.

However I would stress on choosing the correct nasal prongs to go along with any cpap device. I have seen some nasal prongs which damage the nasal septum. And one of the most important investment needed for the success of CPAP in any unit, is training of the nursing staff who will take care of the baby on CPAP....CPAP will fail in every case without proper nursing support !!!

[dr mir]

thank u for the advice, we dont have any comercially available different types of nasal prongs, we just go along with prongs which fit best to prevent nasal leak,we use simple under water in a bottle or drip with a circuit made of oxygen tubing .any other idea about a device will be helpfull and most important nursing aspects are prevention of leaks, o/g tube left open, n/s nasal drops ,spo2 and resp rate monitoring along with gen nursing care. plz do inform of other sugesstions

[amirmasoud2012]

we use blender with F & P bubble CPAP.that is easy in use and good function.(namazi hospital,shiraz,iran)

[Ruth]

Correct fitting prongs and cap and crucial. Regular checks of nasal perfusion will assist in preventing necrosis. Commence immediately on any baby with moderate/ severe resp distress. Babies can be fed on CPAP. Clamp NGT for an hour after feed then place on free drainage particularly if abdom. Distension present. Keep baby comfortable and well positioined. Sucrose and pacifier work well in keeping baby calm.