How to ensure CPAP success

The use of neonatal CPAP is increasing, but in some cases CPAP fails to provide enough support and need for intubation and mechanical ventilation is required. Infants following this path, have a higher rate of complications. 

Can we predict CPAP failure?

There are several demographic risk factors for CPAP failure, including immature gestation, lower birth weight, male gender and in particular early oxygen requirement. Can we use an indicator of oxygenation to predict when we should intervene with surfactant therapy? 

In this video Peter A Dargaville, Staff specialist, Neonatal and Pediatric Intensive Care, Royal Hobart Hospital, share his knowledge of how to succeed with CPAP treatment.

“CPAP failure means that the CPAP has failed to provide sufficient mechanical respiratory support to a preterm infant.”


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