RAM Cannula - page 2

Curious to know if any bedside nurses like this device. We started using it in our facility this year. We did not receive any education on it. I understand that intubation can be incredibly... Read More

  1. Visit  Bortaz, RN profile page
    0
    What is vapotherm?
  2. Visit  prmenrs profile page
    1
    Vapotherm Therapy This is a parent site, but had some info. @Boratz: your hospital may be doing it but calling it something else.
    Bortaz, RN likes this.
  3. Visit  bmsrn profile page
    0
    We used Vapotherm in our unit until they had their recall. We switched to Fisher Pykel and we've been using that since then. I believe they are pretty much the same thing.
  4. Visit  Harparia profile page
    0
    We use the RAM canulas at our facility & I like them very much. One major difference from a standard NC is that you can do bubble CPAP or NIMV with the RAM & the switch is fairly simple. There seems to be far less nasal septum breakdown. Babies can start to dry breastfeed sooner & transferring to kangaroo care is soooo much easier. The one downside is that it doesn't work well for all babies though. Some just really need those Inca prongs which give a better bubble.
  5. Visit  umcRN profile page
    0
    So I Know this is an old post but I had to share. I just saw this used on my unit for the first time. This is a pedi CICU and it was used on a 3 mo old whose been intubated his whole life. They extubated to it and so far he seems to be tolerating it pretty well (RR in the 100's though but appears comfy). He is on the vent mode with a rate. I'm still not understanding how he gets any peep and it's pretty obvious that its all going out his mouth as there's not much for tidal volume registering. I have no idea if we are using this in my NICU yet or not, honestly, the respiratory therapists think one of the attendings just ordered a trial, found it somewhere, and decided to give it a go! No one has had ANY education on it and all we have is the manufacturers "ad" type thing kept at the bedside.

    I still do not see how this differs from vapotherm, nor do the RT's i've talked to. It's essentially just providing high flow with "breaths" at a slightly higher flow.
  6. Visit  nicurn5a profile page
    0
    My unit uses the RAM cannula and at first we had a lot of excessive bloody noses plus some breakdown on the septum. At first I didn't like it because of all the trauma, but we have found ways to prevent it especially the breakdown. I am used to using it now and it works well on the older babies but as for the little ones I guess the jury is still out for me.
  7. Visit  michael scott profile page
    0
    The Columbia bubble cpap method has been in use for fifteen plus years and is far superior to the
    ram Cann. The Ram is a one way flow device, meaning the patient cannot exhale back into it. That is
    why it cannot be allowed to fill more than 80 per cent of the nare. If used correctly, it cannot
    provide a seal and therefore is inefficient and ineffective when compared to Hudson prongs which
    maintain a seal, transmit known pressures, allow the patient to breath physiologically in and out.
    In most cases the Ram is used incorrectly, allowed to occlude the nares, and therefore
    impedes the normal process of exhalation. Co2 is purged by "blowbye" out the mouth. Babies are
    perfectly capable of breathing on their own, they don't need the elevates rates that Ram Cann
    users apply with no apparent criteria.
    Yes, it is easy to use, and everybody likes the "easy button", but it is not the best choice
    for patients with surfactant deficiency. The Hudson cpap system is far superior, but it
    is labor intensive. It is sadly too much work for people who are more committed to their
    own comfort than the correct treatment of the smallest and most vulnerable of patients.


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