Posted March 28, 201311 yr Nasal IPPV is a respiratory support technology that is spreading in NICUs around the world. Those of you attending Hot topics 2012 or EBNEO 2013 probably heard about a comparative study in which nasal IPPV and regular nasal CPAP was compared in extremely preterm infants. We would like to check the temperature how nasal IPPV is used "pre-publication" of the results presented at Hot Topics and EBNEO.
April 12, 201311 yr The use of the SIPAP non-invasive machine in bi-phasic mode(BIPAP) is a great arrow in the quiver to try before intubating a baby that is in respiratory distress and having apneic spells. As a respiratory therapist I like this technology because it allows at least the baby a chance to get through those periodoc breathing episodes and help maintain stimulation and allow the baby to have a decent minute ventilation. It also can prevent the baby from buying a tube right away. It has a set rate, pip, peep, I-time and with a upper and lower pressure that has a delta-p effect.. Edited April 13, 201311 yr by pmaglidt
April 16, 201311 yr we are using this nasal ippv mode instead of cpap comfortably in treating respiratory distress especially in extremely premature infants. nasal ippv mode is really superior than cpap and helps to avoid invasive ventilation in lot of cases Nasal IPPV is a respiratory support technology that is spreading in NICUs around the world. Those of you attending Hot topics 2012 or EBNEO 2013 probably heard about a comparative study in which nasal IPPV and regular nasal CPAP was compared in extremely preterm infants. We would like to check the temperature how nasal IPPV is used "pre-publication" of the results presented at Hot Topics and EBNEO.
April 18, 201311 yr we do use non invasive cpap on our infants but we use either the oral ett or we have a mask and nasal prong that is used with our vents. what has helped us with ventilation is the use of bubble cpap and curosuf
April 24, 201311 yr I s BIBAP used with nasal prong or with nasopharyngeal tube is this mode present in Benet m v
April 27, 201311 yr We use the infant flow for NIV CPAP with either the prongs or mask. When it comes to needing a rate and more support the carefusion NIV positive pressure device works great (having cpap and bipap capabilities) to attempt keeping a baby having respiratory distress from getting intubated. At a hospital I worked at we also utilized what they called nasal-pap (NIV) throught the PB840. I feel the SIPAP machine from carefusion is great due to flexibility of starting a baby on BIPAP, if needed and the changing them to CPAP and only using one machine. I have noticed the selective use of surfactant being more moderate over starting a baby on 5cmH2O CPAP and then weanng them off ASAP after there has been the recruitment needed. The surfactant deficiency in premies is an issue though i have seen surfactant replacement therapy being used less and more selectively....
April 27, 201311 yr From the initial post about the temperature with nasal IPPV we use it with the invasive mode on the passover humidifier in pre-term infants 37 C but switch to non-invasive for the more term babies at 32 C
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