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This is a discussion on chinstraps on ncpap in NICU Nursing / Neonatal, part of Critical Care Nursing ... Hi we have always used chinstraps to close babies mouths when on cpap. This keeps the flow lower...by wensday Feb 18, '12Hi we have always used chinstraps to close babies mouths when on cpap. This keeps the flow lower because its not lost out of their mouth when it gapes open.
There is now some discussion they are not needed and I wondered if any of you lovely people had experience with or without them.
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- Feb 18, '12 by Backtoyou2011In our unit it is protocol to utilize a chin strap with nasal cpap, unless the kiddo keeps their pressures and 'bubbles' fine without one. I personally hate the chin straps but it really does help with the seal.
- Feb 18, '12 by Bortaz, RNI use them. It's not even debateable whether they lose the pressure through the open mouth, just put your hand up there, close the mouth, and watch the bubbles start and the sats stabilize.
- Feb 18, '12 by wensdayYeah my thoughts exactly. It just works, really can't understand why we would stop using them. I think we will end up using a much higher flow to maintain pressures.
- Feb 18, '12 by umcRNI have never seen chinstraps. I am intrigued though, I HATE CPAP and SiPAP with a passion because with an active baby you can't never get a good seal and they are always getting them off or loosing pressure out the mouth.
- Feb 19, '12 by Bortaz, RNI use the Bili-Combi bilimasks, just put the eye covers on the chin instead. :P
- Feb 19, '12 by NicuGalWe have used them, but we don't like them.
- Feb 19, '12 by wensdayBortaz thats what we used to use but now we have fp proper ones with velcro in different sizes. Nicugal why didnt you like them?
- Feb 19, '12 by Bortaz, RNWhy not?
- Feb 19, '12 by NicuGalThe ones we have don't seem to work well and being a county hospital we are stuck with them. We tried the bili mask thing but got reprimanded because that isn't what they are for...okayy. We have had pretty good luck with nesting and using postitional devices to kind of prop under the chin.