Continuous Positive Airway Pressure: To Bubble or Not to Bubble?

Samir Gupta; Steven M Donn

doi:10.1016/j.clp.2016.07.003

Continuous Positive Airway Pressure: To Bubble or Not to Bubble?

Clin Perinatol. 2016 Dec;43(4):647-659. doi: 10.1016/j.clp.2016.07.003.

Authors

Samir Gupta¹, Steven M Donn²

Affiliations

¹ Department of Paediatrics, University Hospital of North Tees, Durham University, Hardwick road, Stockton-on-Tees, TS19 8PE, United Kingdom. Electronic address: Samir.gupta@nth.nhs.uk.
² Division of Neonatal-Perinatal Medicine, C.S. Mott Children's Hospital, University of Michigan Health System, 1540 East Hospital Drive, Ann Arbor, MI 48109, USA.

PMID: 27837750
DOI: 10.1016/j.clp.2016.07.003

Abstract

Continuous positive airway pressure (CPAP) systems can be broadly grouped into continuous flow or variable flow devices. Bubble CPAP (bCPAP) is a continuous flow device and has physiologic properties that could facilitate gas exchange. Its efficacy has been reported to be similar to variable flow CPAP systems when used as a primary mode of respiratory support. Post-extubation bCPAP is reported to significantly reduce extubation failure rates among preterm infants ventilated for less than 2 week when compared to Infant flow driver CPAP (variable flow). bCPAP has been successfully used in resource-poor settings. The success on CPAP is however dependant on good nursing care and clear management protocols for weaning and escalation of care.

Keywords: Bubble CPAP; Continuous positive airway pressure, CPAP; Respiratory support; Ventilation.

Publication types

Review

MeSH terms

Continuous Positive Airway Pressure / methods*
Humans
Infant, Newborn
Infant, Premature
Respiratory Distress Syndrome, Newborn / therapy*

Supplementary concepts

Respiratory Distress Syndrome In Premature Infants