Continuous
Positive Airway Pressure
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Reviewed by Victoria
Wells - Nurse Educator |
| May 2009 |
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| Step | Action |
| 1 |
A baby is placed on NP-CPAP either by:
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| Note: | There should be discussion with the consultant as soon as practicable about why nasopharyngeal CPAP is required. If nasal erosion is significant, enough to require nasopharyngeal CPAP, a Risk Monitor Pro report must be completed and clearly documented in baby's notes. |
| 2 | The ongoing need for NP-CPAP is reviewed daily by the above staff. |
| 3 | An ET tube 2.5 or 3.0 is inserted 4cm into nasopharynx (5cm if baby >3.5 kg). |
| 4 | Base tapes are applied to the face with elastoplast patches attached (to allow for ease of tape repositioning). the tube is then taped in place with two separate pieces of leukoplast above the top lip and secures on the cheek. |
| 5 | The nasopharyngeal (NP) tube shortened to approximately 6cm from nares. Ensure you insert the manifold (non disposable) into the cut end of the ETT. |
| 6 | NP tube is removed for suctioning infant as per suction protocol. |
| 7 | NP tube should be changed 12-hourly (or more frequently if required). |
| 8 |
Print out this guideline, fill in the details below, and file in the
baby's notes, with a baby sticker placed on this form. Date commenced: ______/______/______
Signature: _________________________ |