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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.
CPAP is an acronym for "continuous positive airway pressure", which was developed by Dr. George Gregory and colleagues in the neonatal intensive care unit at the University of California, San Francisco. [1] A variation of the PAP system was developed by Professor Colin Sullivan at Royal Prince Alfred Hospital in Sydney, Australia, in 1981. [2]
Jen-Tien Wung is a Taiwanese-American pediatrician (neonatologist, anesthesiologist), author and professor of pediatrics at Columbia University's New York Presbyterian Hospital who developed Bubble CPAP for the treatment of premature babies. [1] Wung graduated from Taipei Medical College in Taiwan in 1966.
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.
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.
Oxygen is given with a small amount of continuous positive airway pressure (CPAP), and intravenous fluids are administered to stabilize the blood sugar, blood salts and blood pressure. CPAP application to preterm neonates with respiratory distress is associated with a reduction in respiratory failure, mechanical ventilation and mortality. [27]
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Neonatal resuscitation, also known as newborn resuscitation, is an emergency procedure focused on supporting approximately 10% of newborn children who do not readily begin breathing, putting them at risk of irreversible organ injury and death. [1] Many of the infants who require this support to start breathing well on their own after assistance.
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