Anyone else using Vapotherm? Swear I'm not a rep for the company, I'm just pretty impressed. It's essentially a very high flow NC but there is so much heat and humidity that it is well tolerated. The neo-natal flow rates are from 1L to 8L/min then you can blend the FiO2. It's delivered through a pretty standard looking nasal cannula.
The infant I had was a "chronic", only been off the vent for 4 days in his life and was over 100days old. His neo loaded him on steroids and extubated him to the Vapotherm at 6L/min, started at 0.50 FiO2 and eventually held at about 0.30 FiO2. He tolerated very well, didn't have a lot of nasal secretions and what he did have was very thin due to all the humidity being delivered through the system. His CBG's were amazing the next few days. PCO2's from 54-65 which was amazing for this kid even when he was intubated. I had him for his first 6 days on this Vapotherm and he was thriving on it. The Neo was starting to wean his flow the last couple days.
We had just gotten them in the unit in the last few weeks and these were the results we were seeing on most of the kids. We are looking to replace many of the CPAPs with this system. I know they have a website because no one inserviced me on them so I had to seek the information on my own.
