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There are also nasal pillow masks which have a cushion at the base of the nostrils, and are considered the least invasive option. [18] Frequently, nasal CPAP is used for infants, although this use is controversial. Studies have shown nasal CPAP reduces ventilator time, but an increased occurrence of pneumothorax also was prevalent. [19]
Positive airway pressure (PAP) is a mode of respiratory ventilation used in the treatment of sleep apnea.PAP ventilation is also commonly used for those who are critically ill in hospital with respiratory failure, in newborn infants (), and for the prevention and treatment of atelectasis in patients with difficulty taking deep breaths.
Modes of mechanical ventilation are one of the most important aspects of the usage of mechanical ventilation.The mode refers to the method of inspiratory support. In general, mode selection is based on clinician familiarity and institutional preferences, since there is a paucity of evidence indicating that the mode affects clinical outcome.
Non-invasive ventilation (NIV) is the use of breathing support administered through a face mask, nasal mask, or a helmet. Air, usually with added oxygen, is given through the mask under positive pressure; generally the amount of pressure is alternated depending on whether someone is breathing in or out.
The person typically wears a plastic facial mask, which is connected by a flexible tube to a small bedside CPAP machine. [67] Although CPAP therapy is effective in reducing apneas and less expensive than other treatments, some people find it uncomfortable. Some complain of feeling trapped, having chest discomfort, and skin or nose irritation.
The successful application of bubble CPAP requires elaborate nursing care. [6] There is a learning curve to the implementation of the bubble CPAP respiratory approach that requires a team effort. [2] Respiratory therapists are important members of the team. The system has to be snugly fitted and stationed on the infant's head.
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