Ebook Atlas of Procedures in neonatology (5/E): Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Atlas of Procedures in neonatology (5/E): Part 2
Ebook Atlas of Procedures in neonatology (5/E): Part 2
Respiratory Care3536Bubble Nasal Continuous Positive Airway PressureEndotracheal Intubation230Bubble Nasal ContinuousPositive Airway PressureJA.Defini Ebook Atlas of Procedures in neonatology (5/E): Part 2itionContinuous positive airway pressure (CPAP) is a noninva-sivc, continuous flow respiratory system that maintains positive pressure 111 the infants airway during spontaneous breathing. CPAP was developed by George A. Gregory 111 the late 1960s (I). Positive pressure was originally applied by plac Ebook Atlas of Procedures in neonatology (5/E): Part 2ing the neonates head into a semiairtight "box’ (tile Gregory box) and. subsequently, by a fitted face mask covering die mouth and nose (2). A major pEbook Atlas of Procedures in neonatology (5/E): Part 2
roblem with both these methods of application was the fact that it was difficult to feed the baby without discontinuing die CPAP, tiius the evolution Respiratory Care3536Bubble Nasal Continuous Positive Airway PressureEndotracheal Intubation230Bubble Nasal ContinuousPositive Airway PressureJA.Defini Ebook Atlas of Procedures in neonatology (5/E): Part 2pplying CRAP. wherein pressure is generated in the breathing circuit by immersing the distal end of the expiratory limb of the breathing circuit under a water seal (4-6) (Fug. 35.1).Bubble CPAP allows provision of CPAP without use of a ventilator, and it is currently primarily used for early treatme Ebook Atlas of Procedures in neonatology (5/E): Part 2nt of low-birthweight premature infants with or at risk for respiratory distress syndrome and/or with frequent apnea/ bradycardia (7). In addition toEbook Atlas of Procedures in neonatology (5/E): Part 2
cost considerations, there is early evidence that b-CPAP may be more effective in small premature babies than ventilator-derived CPAP (8).CP.AP has flRespiratory Care3536Bubble Nasal Continuous Positive Airway PressureEndotracheal Intubation230Bubble Nasal ContinuousPositive Airway PressureJA.Defini Ebook Atlas of Procedures in neonatology (5/E): Part 2 act of breathing and decreases apnea4Conserves surfactant via decreased inflammatory responses (9)5Stimulates lung growth when applied for extended duration (10)B.Indications1Premature infants with/at high risk for respiratory distress syndrome2Premature infants with frequent apnea and bradycardia Ebook Atlas of Procedures in neonatology (5/E): Part 2of prematurity3Infants with transient tachypnea of the newborn4Infants who have weaned from mechanical ventilation5Infants with paralysis of the diaphEbook Atlas of Procedures in neonatology (5/E): Part 2
ragm or tracheomalaciaW hen to Start b-CPAP?a.Premature infants with a birthweight <1,200 g can be supported with b-CPAP starting in the delivery roomRespiratory Care3536Bubble Nasal Continuous Positive Airway PressureEndotracheal Intubation230Bubble Nasal ContinuousPositive Airway PressureJA.Defini Ebook Atlas of Procedures in neonatology (5/E): Part 2moderate grunting-3Mild to moderate respiratory retraction-4Prcductal oxy gen saturation <93%-5Frequent apneasc. Contraindications1Choanal atresia2Congenital diaphragmatic hernia3Conditions where b-CPAP is likely to fail in the delivery room such asa.Extremely low gestational age infonts (<24 weeks) Ebook Atlas of Procedures in neonatology (5/E): Part 2 I). Floppy infants with complete apnea due to maternal anesthesiaRespiratory Care3536Bubble Nasal Continuous Positive Airway PressureEndotracheal Intubation230Bubble Nasal ContinuousPositive Airway PressureJA.DefiniRespiratory Care3536Bubble Nasal Continuous Positive Airway PressureEndotracheal Intubation230Bubble Nasal ContinuousPositive Airway PressureJA.DefiniGọi ngay
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