Bubble CPAP versus Ventilated CPAP???

[VEVINA]

My ward has been using ventilated CPAP on the babies. Recently, because of the high hospitalization bills of the babies, our department has decided to give a try on bubble CPAP on the babies. I would like to know what are the problems that you will face when caring bubble CPAP babies? And how you overcome the problem? As far as I know, bubble CPAP doesn't have any alarms when there is leakage?

[BabyNurse513]

My ward has been using ventilated CPAP on the babies. Recently, because of the high hospitalization bills of the babies, our department has decided to give a try on bubble CPAP on the babies. I would like to know what are the problems that you will face when caring bubble CPAP babies? And how you overcome the problem? As far as I know, bubble CPAP doesn't have any alarms when there is leakage?

Bubble CPAP is great but for it to work, it is imperative that all the nurses are comfortable using it and know how it works. We trialed it once in my old unit and it never worked out becuase the nurses weren't properly trained. Now I work at Columbia with Dr. Wung, who invented bubble CPAP, and learning about it was a major part of my orientation.

It is true, there is no alarm when there is leakage so as the nurse, you have to be vigilant about making sure there is a proper seal. I have become so accustomed to working with it now that as soon as I go to the bedside I always notice if I hear bubbling or not. Let me know if you have any other questions about it!

[BabyNurse513]

http://respiratory-care-manager.advanceweb.com/common/editorialsearch/aviewer.aspx?CC=2421

[Jolie, BSN]

Do you know of any sites that show a photo or diagram of the set-up?

[NRSKarenRN, BSN, RN]

manufacturer illustrated setup:

http://www.fphcare.com/neonatal/respiratory_products1.asp

http://www.fphcare.com/neonatal/respiratory_products2.asp

picture in use:

bubble cpap : effective respiratory support initiated by nurses ...

clinical info:

infant nasal cpap -has diagram

microsoft powerpoint - cpap_wob rev.pps

http://www.beeversonline.com/cannulaide/faq/cannulaide_faq.htm

[BabyNurse513]

No, and I did a google search too and couldn't find anything.

[NoCrumping]

Bubble CPAP is great but for it to work, it is imperative that all the nurses are comfortable using it and know how it works. We trialed it once in my old unit and it never worked out becuase the nurses weren't properly trained. Now I work at Columbia with Dr. Wung, who invented bubble CPAP, and learning about it was a major part of my orientation.

It is true, there is no alarm when there is leakage so as the nurse, you have to be vigilant about making sure there is a proper seal. I have become so accustomed to working with it now that as soon as I go to the bedside I always notice if I hear bubbling or not. Let me know if you have any other questions about it!

Babynurse.... are BSNs mandatory at Columbia's Morgan Stanley NICU?

[Jolie, BSN]

Thanks Karen!

[BabyNurse513]

Babynurse.... are BSNs mandatory at Columbia's Morgan Stanley NICU?

I know that they are preferred, but I am not 100% sure if they are required.

[BabyNurse513]

manufacturer illustrated setup:

http://www.fphcare.com/neonatal/respiratory_products1.asp

http://www.fphcare.com/neonatal/respiratory_products2.asp

http://www.beeversonline.com/cannulaide/faq/cannulaide_faq.htm

we actually make our own system as this system is not available is the us. it is really simple, just a humidifier, a sterile bottle of acetic acid, tubing and the prongs. we use hudson prongs.

we have the cannulaide available in our unit but we are not huge fans becuase it completely covers the septum, and unless you are vigilant about changing it really frequently, you can't see if the septum is breaking down.

[VEVINA]

Thanks BabyNurse513

[VEVINA]

Was asked by my nurse clinican to come out a list of pre-requistics, nursing actions and advantages and disadvantages when nursing bubble CPAP babies. Can anyone help me out there? Thanks!