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?

 

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

 

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

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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