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Clinics in perinatology · Dec 2016
ReviewContinuous Positive Airway Pressure Strategies with Bubble Nasal Continuous Positive Airway Pressure: Not All Bubbling Is the Same: The Seattle Positive Airway Pressure System.
- Stephen E Welty.
- Department of Pediatrics, Baylor College of Medicine, 6621 Fannin Street, W1604, Houston, TX 77030, USA. Electronic address: welty@bcm.edu.
- Clin Perinatol. 2016 Dec 1; 43 (4): 661-671.
AbstractPremature neonates are predisposed to complications, including bronchopulmonary dysplasia (BPD). BPD is associated with long-term pulmonary and neurodevelopmental consequences. Noninvasive respiratory support with nasal continuous positive airway pressure (CPAP) has been recommended strongly by the American Academy of Pediatrics. However, CPAP implementation has shown at least a 50% failure rate. Enhancing nasal CPAP effectiveness may decrease the need for mechanical ventilation and reduce the incidence of BPD. Bubble nasal CPAP is better than nasal CPAP using mechanical devices and the bubbling provides air exchange in distal respiratory units. The Seattle PAP system reduces parameters that assess work of breathing.Copyright © 2016 Elsevier Inc. All rights reserved.
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