DUOPAP initial settings - Fabian Evolution

[ukfile]

Hi

I wonder if anybody is using fabian evolution for non invasive neonatal ventilation?

There seem to be so many views / variation about the start up settings for DUOPAP mode?

some use the same settings as in a ventilator mode.

Others start with I-time of 1 second and frequency of 10-20/minutes

There is also wide variation about start up Pduo setting and what would be max Pduo

There are several devises in the market such as BIPAP & SIPAP..etc.

Can they all be used in the same way when it comes to bi-level non invasive neonatal ventilation?

I would appreciate sharing your local practice? and whether backed by evidence?

 

[mero4t]

i think to start at full support at first then gradually wean 

 

[sujatad]

Here are some articles which may help to decide initial settings for duopap on Fabian ventilator.

Duopap in vlbw RDS china study 2014.pdf

Duopap review article.pdf

[nashwa]

Yes, we use it.. BiPAP initial setting peep 5, pip 8 above peep, T high 1 sec and frequency is 20 - 30

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