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99nicu Poll: do you support breathing for preterm infants with nasal IPPV or nasal CPAP?


Do you use nasal IPPV to support breathing in extremely pretern infants? (multiple choices allowed)  

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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.

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  • 2 weeks later...

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 by pmaglidt
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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.

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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....

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