dj 188

We do use iT of .5 sec. The leak is not the nose but the mouth. Even with a chin strap sometimes. Too much air in the belly is the main problem for these little babies.

We are starting to use NIPPV more on the ELBW babies but have trouble with alot of air in the belly, Causing feeding issues (vomiting from excess air)Trying the RAM cannula but doesn't seem much better with the air. What do you do about the excess air besides aspirating every hour. Also do you get the PIP set? We use the Draeger VN500 and if we set a PIP of 20 we may get 13 if we're lucky.

Sounds like you are starting off good. We’ve been doing it for a year and a half now. We needed to give it sooner than later was the biggest learning incite we had. Our threshold was too high sometimes still trying to get them through just NIV without surfactant, so we brought it back to 30% and have had better results. Wish we could get the Surfcath over here in the USA that would make it much easier than the makeshift catheters. Great job on the video!