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The development of heated humidified high flow started in 1999 with Vapotherm introducing the concept of high flow use with race horses. [2]High flow was approved by the U.S. Food and Drug Administration in the early 2000s and used as an alternative to positive airway pressure for treatment of apnea of prematurity in neonates. [3]
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.
CPAP machines possess a motor that pressurizes room temperature air and delivers it through a hose connected to a mask or tube worn by the patient. This constant stream of air opens and keeps the upper airway unobstructed during inhalation and exhalation. [1] Some CPAP machines have other features as well, such as heated humidifiers.
Although the humidifying capacity of a bubble respiratory gas humidifier is rather low, it may be improved by increasing the water temperature. A bubble bottle is mostly used in oxygen therapy with high flow rates via a mask, nasopharyngeal catheter, or nasal cannula in order to prevent drying of the mucous membranes in the nose and mouth.
McGinnis developed the "Nasal CPAP Mask System," a continuous positive airway pressure (CPAP) machine for the treatment of sleep apnea, [3] based on the original 1981 design by Dr. Colin Sullivan. [4] After receiving FDA approval in 1984, Respironics began selling the first commercially available CPAP machine a year later. [5]
Bubble CPAP is a non-invasive ventilation strategy for newborns with infant respiratory distress syndrome (IRDS). It is one of the methods by which continuous positive airway pressure (CPAP) is delivered to a spontaneously breathing newborn to maintain lung volumes during expiration.
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