Continuous Positive Airway Pressure
Requirements for Effective CPAP

 

Reviewed by Victoria Wells -
Nurse Educator
May
2009
Clinical Guidelines Back Newborn Services Home Page

Low Resistance Delivery System

  • Large bore tubing
  • Short, wide connection to patient

Consistent, reliable pressure generation

  • Appropriate, snug,-fitting nasal prong size
  • Well positioned and secure
  • Prevention of leak via mouth with chin strap
  • Carefully set-up and maintained circuit

Optimally Maintained Airway

  • Warmed, humidified gas
  • Neck in mild extension
  • Appropriate airway care, eg. suctioning

Applicable to the Very Low Birthweight Infant

  • Hudson prongs size 0 through 5

Relatively Atraumatic, safe and cost-effective

 

Early Application

  • At first onset of symptoms

Meticulous, Consistent Technique

  • Skilled caregivers