What Is a Neonatal CPAP?

CPAP stands for Continuous Positive Airway Pressure, which uses a mask to deliver continuous positive airflow into the airway. The machine that gives oxygen in this way is called a CPAP ventilator. It means that under the condition of spontaneous breathing, the patient should have a stable respiratory driving force and an appropriate tidal volume, and artificially apply a certain level of positive airway pressure throughout the breathing cycle, which is conducive to preventing airway collapse and increasing functional residual air volume. , Improve lung compliance, and increase oxygenation. In this mode, the ventilator only maintains a certain positive airway pressure and does not perform mechanical ventilation. Only for patients with spontaneous breathing. If the patient has apnea, the CPAP ventilator can perform the necessary mechanical ventilation according to a preset frequency to ensure the safety of the patient.

CPAP

CPAP stands for Continuous Positive Airway Pressure, which uses a mask to deliver continuous positive airflow into the airway. The machine that gives oxygen in this way is called a CPAP ventilator. It means that under the condition of spontaneous breathing, the patient should have a stable respiratory driving force and an appropriate tidal volume, and artificially apply a certain level of positive airway pressure throughout the breathing cycle, which is conducive to preventing airway collapse and increasing functional residual air volume. , Improve lung compliance, and increase oxygenation. In this mode, the ventilator only maintains a certain positive airway pressure and does not perform mechanical ventilation. Only for patients with spontaneous breathing. If the patient has apnea, the CPAP ventilator can perform the necessary mechanical ventilation according to a preset frequency to ensure the safety of the patient.
Chinese name
Continuous positive airway pressure
Foreign name
CPAP
Application area
Medical industry
Mainly applicable
Neonatal, Pediatric Severe
Mainly applicable to neonatal, pediatric severe (NICU, PICU). For premature infants, newborns, infants, and children with diseases such as acute pneumonia, pulmonary hemorrhage, type I and type II respiratory failure, shock and heart failure, and hypoxemia. It can also be used to rescue people who cause snoring and nocturnal apnea and acute heart failure.
BMC CPAP (domestic) Stephen B (domestic import of domestic brands), KD300CPAP (domestic), Swiss-Aladdin CPAP, Schupstar (domestic)
Stephen B Type Features
There is no built-in air-oxygen mixer, and the oxygen concentration is adjusted by air and oxygen volume ratio changes.
The advanced integrated unit adjusts the pressure of the inhalation platform and the end of breathing and warms and humidifies the inhaled gas.
Easy to maintain and simple to use.
Disadvantages: The use of oxygen concentration and flow is restricted, and it cannot be controlled separately. It can only be operated according to the comparison table without alarm safety restrictions.
KD300CPAP Features
The package is stable and reliable air oxygen mixer to achieve oxygen concentration adjustment.
The oxygen concentration is continuously adjustable from 21% to 100%, the flow is 0 to 30L / min, and the CPAP pressure is 0 to 21 cm of water column.
The oxygen concentration, flow rate, and CPAP pressure are individually controlled to facilitate clinical operation.
Can set upper and lower limit of oxygen concentration alarm
Can set CPAP pressure alarm
Working from a single gas source
Disadvantages: limited to children with spontaneous breathing
Aladdin CPAP Features
Simple structure, equipped with temperature-compensated humidifier, reducing condensation in the pipeline.
The flow rate is 0 ~ 12L / min, and the oxygen concentration is continuously adjustable from 21% to 100%.
Can set upper and lower limit of oxygen concentration alarm
Can set CPAP pressure alarm
Disadvantages: low flow, can only be used with newborns, premature babies, and the flow for PICU is relatively small.
1. Able to provide the baby with a safe and controllable oxygen concentration (FIO2)
2. Can effectively maintain functional residual gas volume (FRC)
3. It can help reduce the respiratory work done by the baby (WOB)
4. Can reduce the need for invasive mechanical ventilation
5. Can provide a better warm and humid gas to the baby (T)
6. Can significantly reduce the incidence of chronic lung disease (CLD)
7. Can improve some non-lung physiological indicators, such as height, weight, etc.
System structure is tight
The integrated design of the host, humidifier and air compressor (optional) is easy to operate and simple to use.
Built-in air-oxygen mixing:
Real-time monitoring of oxygen concentration (system oxygen battery is guaranteed for more than two years), to achieve double guarantees for the safety of oxygen use, especially to avoid complications and adverse consequences caused by improper use of oxygen in preterm infants and newborns.
High CPAP adjustment accuracy
The pressure of the water column can be adjusted continuously from 0 to 40 cm, combined with system pressure monitoring to ensure patient safety;
Accessories
Automatically controlled humidifier to maintain the optimal humidification status of the system;
High-quality medical silicone tubing and nasal plugs play a role in reducing the resistance of the respiratory tract and reducing the respiratory work of children. In conjunction with the system's fixed device, it reduces the pressure on the patient's head and face and the damage to the nasal septum;
The pressure output of the air compressor is stable, and the imported movement can be selected, which can realize 1 to 2 to 3.
Flow: 0L / min35L / min.
Oxygen concentration: 21% -100%.
Gas temperature: 26 36
CPAP pressure adjustment range: 0-4kPa (1kPa 10 cm water column), set by the doctor according to the specific condition of the child, usually infants and young children set 3-5 cm water column; children and adults set 5-10 cm water column, for reference only!
Alarm
1. Gas stop alarm: After the air source is cut off, there will be sound and light alarm within 10s.
2. Power failure alarm: there is an audible alarm after power failure, the duration is greater than 60S.

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