Yay!! We're getting our Vapotherms Back!!!!

[SteveNNP, MSN, NP]

One of our neos just told me the other day that we'll be getting our "new and improved" Vapotherms back in a few weeks. We can finally put those horrible NCPAPs/SiPAP's away for good! Apparently the FDA approved the Vapotherms with a new cleaning/manufacturing process, but they were unable to find a link between the unit and the Ralstonia outbreaks. Our neos switched to NCPAP and a few HFNC's for the last 10months or so, but it'll be great to have 'em back. I think kids did so much better off the vent on Vapotherms than on NCPAP/SiPAP.

Are any of you getting them back???

Stevern21

[TiffyRN, BSN, PhD]

I heard a rumor from one of our RT's but have no solid proof. There are two little chronics in our unit I know would have thrived on them, so many others too. . . I hope it's true!!

[NRSKarenRN, BSN, RN]

:w00t:

vapotherm announces reintroduction of 2000i devices to market

stevensville, maryland, january 4, 2007:

vapotherm, inc. announced today that its 2000i high flow humidification device has been reintroduced to the market after agreement by the u.s. food and drug administration (fda) that the company can begin shipping the devices to customers. the company is notifying its hospital and homecare customers to arrange for shipment of devices beginning this week.

the devices are being returned to customers with new instructions for use, including the recommendation to utilize only sterile water in the system. read more >>

************

:1luvu: :w00t:

ok to rejoyce now!

remember you heard heard it here first @ allnurses. karen

[SteveNNP, MSN, NP]

We never used anything BUT sterile h2o in our unit..........never had any outbreaks that weren't linked to invasive lines.....

[Gompers, BSN, RN]

We always used sterile water as well and never had any outbreaks. The problem, from what respiratory told us, is that the internal filter cartridge wasn't disposable and there wasn't a way to sterilze it - therefore between patients you couldn't really clean the units out completely.

I am pleased to hear that they're coming back, but we won't be getting them. After the recall, our unit bought a bunch of the Fisher Paykel versions so we would lose money if we got rid of them to buy or rent the new Vapotherms. I haven't noticed much difference between them except that the FP versions don't have alarms on them, so you don't know if your baby is disconnected somewhere along the tubing.

[TiffyRN, BSN, PhD]

Yea, we have one baby on it now and according to our RT's we have several available. I'm excited.

[Jes RN]

What is SiPAP? We use bubble NCPAP in our unit, but I haven't heard of SiPAP before. please share! :)

Also, how do the Vapotherm units differ from the high humidity cannulas?

[SteveNNP, MSN, NP]

SiPAP is like NCPAP, but with a programmed PIP AND Peep, and a set rate, kind of like adult BiPAP.

Vapotherms can be operated at anywhere from 1-20 Lpm, though we usually start ours out at 6lpm if I remember correctly, and wean down. It is similar in that it uses heat/humidity with a soft nasal cannula.

[Jes RN]

SiPAP is like NCPAP, but with a programmed PIP AND Peep, and a set rate, kind of like adult BiPAP.

Vapotherms can be operated at anywhere from 1-20 Lpm, though we usually start ours out at 6lpm if I remember correctly, and wean down. It is similar in that it uses heat/humidity with a soft nasal cannula.

Oooh. We do Nasal SIMV, which is NCPAP with a PIP, PEEP, and backup rate. That sounds pretty similar if not identical to SiPAP. Different vernacular perhaps? I deplore those nasal SIMV machines as they have a horribly shrill apnea/low flow detected alarm.

Thanks a bunch! :)

[Mimi2RN, ASN, RN]

We loved Vapotherm. It got babies off vents, and some never had to be intubated. We are getting some new equipment, but I don't know what brand. I hope it works as well.