Bubble CPAP Best way to treat Respiratory Distress in Neonates

Slides:

Advertisements

Similar presentations

B is for Breathing Irene Bouras Anaesthetic SpR UCLH.

Advertisements

Non-invasive Ventilation

Bronchopulmonary Dysplasia(BPD) Kumari Weeratunge M.D. PL - 2.

Mechanical Ventilaton Ramon Garza III, M.D.. Indications Airway instability Most surgical patients or trauma Primary Respirator Failure Mostly medical.

Blood Gas Sampling, Analysis, Monitoring, and Interpretation

Mechanical Ventilation in the Neonate RC 290 CPAP Indications: Refractory Hypoxemia –PaO2 –Many hospitals use 50% as the upper limit before changing.

SE Courtney, MD MS Professor of Pediatrics

J. Prince Neelankavil, M.D.

Designing for Newborn Health Hanoi, Vietnam Rachel Gilbert Whitaker Grantee Enrichment Seminar Budapest, Hungary 28 April 2015.

Noninvasive Oxygenation and Ventilation

NONINVASIVE POSITIVE PRESSURE VENTILATION NIPPV ADELYN MITCHELL, RN, BSN, CEN, BSRC NURS 5303 INFORMATION AND TECHNOLOGY.

Protective Lung Strategy Mazen Kherallah, MD, FCCP

1 Chronic Lung Disease Interventions N. Singhal University of Calgary November 2006.

Complications of Prematurity. Neonatal mortality Causes of neonatal death in Cambridge Maternity Hospital Respiratory distress syndrome137*38.

CPAP Murila fv. Respiratory distress syndrome 28% of neonatal deaths are due to prematurity The most common respiratory disorder in the preterm is Respiratory.

Audit of RBC Transfusion in Premature Infants 2001 Dr Ho Hing Tung (Paediatrics) Dr Sherman Lee (Clinical Audit) Dr Raymond Chu (Haematology) Pamela Youde.

An interdisciplinary approach to care of infants with bronchopulmonary dysplasia. Alfred L. Gest, MD.

DISCHARGE PLANNING. The decision of when to discharge an infant from the hospital after a stay in the NICU is complex. made primarily on the basis of.

Respiratory Respiratory Failure and ARDS. Normal Respirations.

นพ. ธรรมศักดิ์ ทวิช ศรี หน่วยเวชบำบัด วิกฤต ฝ่ายวิสัญญีวิทยา รพ. จุฬาลงกรณ์

Respiratory Distress Syndrome (RDS)

Clinical Simulations for the Life Pulse HFJV IMPORTANT: Tap or click on the slide to advance. Do not use the navigation arrows.

Paramedic Ventilator Management

BY: NICOLE STEVENS.  Primary objective of mechanical ventilation is to support breathing until neonates own respiratory efforts are sufficient  First.

Management of Premature Infants in Neonatal Intensive Care Unit (NICU) with Severe Chronic Lung Disease of Infancy Requiring Discharge on Chronic Home.

Noninvasive Ventilation in Acute Cardiogenic Pulmonary Edema Alasdair Gray, M.D., Steve Goodacre, Ph.D., David E. Newby, M.D., Moyra Masson, M.Sc., Fiona.

Rusu Gabriel- General Medicine.  Major interventions significantly affects the functions of more systems such as respiratory one, increasing the risk.

NIV Why? How?. Non Invasive Ventilation – a guide to difficult choices Dr Sanj Fernando.

Jason P. Lott, Theodore J. Iwashyna, Jason D. Christie, David A. Asch, Andrew A. Kramer, and Jeremy M. Kahn Am J Respir Crit Care Med Vol 179. pp 676–683,

The Golden Hour Debates

Invasive Mechanical Ventilation

ALC, Pneumonia, COPD, Strokes

Pulmonary atelectasis in anaesthesia and critical care

MANAGEMENT OF CARDIAC ARREST IN PREGNANCY

RESPIRATORY DISTRESS SYNDROME IN NEONATES

Feeding in Very Low Birth Weight neonates on Vapotherm versus CPAP

Multiple factors contributing to the epigenetics of the “new” bronchopulmonary dysplasia (BPD) associated with lung development and gestational and postnatal.

Transient Tachypnea of newborn Wet lung; RDSII (TTN)

Alla Kushnir, MD, Judy Saslow MD, Linda Slater-Myer, MD

NEONATAL TRANSITION.

Advanced Ventilation Research

DEFINITION Respiratory problem in premature babies

Charles D. Burger, MD, Roger K. Resar, MD Mayo Clinic Proceedings

How Much Air Can You Exhale

Correlation of developmental outcome with severity of bronchopulmonary dysplasia in extremely low gestational age neonates Karen Belen, Chengqiu Lu, Narges.

Bronchopulmonary Dysplasia: a challenge for the clinician

Outcomes in Neonates with Hypoxemic Refractory Respiratory Failure on High-Frequency Oscillatory Ventilator versus High-Frequency Jet Ventilator Alla Kushnir.

Dream Project Inspire to breath

Dr. Madhavi Karki.

FLIGHT MEDICAL B-Lev Mode Biphasic Ventilation Confidential.

The Pediatrix BabySteps® Data Warehouse and the Pediatrix QualitySteps Improvement Project System—Tools for “Meaningful Use” in Continuous Quality Improvement

Hyaline Membrane Disease

Why Do Babies Die? Elaine B. St. John, MD Division of Neonatology University of Alabama at Birmingham.

Overcoming Challenges in Pediatric CDI

Supplementary Data Tables, Utilization and Volume

Charles D. Burger, MD, Roger K. Resar, MD Mayo Clinic Proceedings

Robert H. Pfister, MD, Jay P. Goldsmith, MD Clinics in Perinatology

National Neonatal Audit Programme 2016

J. Rello, E. Afonso, T. Lisboa, M. Ricart, B. Balsera, A. Rovira, J

Alzheimer’s & Dementia Registered Charity Number

Ventilation strategies

Chapter 25 Respiratory Care Modalities

Neonatal Respiratory Distress Syndrome NRDS 新生儿呼吸窘迫综合征

MECHANICAL VENTILATION

Minimizing Lung Injury Homeroom Driver Diagram

Community Perspective Michael Sylvia, MD FAAP

CPAP Murila F. V.

The Pediatrix BabySteps® Data Warehouse and the Pediatrix QualitySteps Improvement Project System—Tools for “Meaningful Use” in Continuous Quality Improvement

ICU length of stay comparing LTV and HTV mechanical ventilation in adult patients with ARDS. ARDS, acute respiratory distress syndrome; HTV, higher tidal.

Percent of extremely-low-birth-weight (ELBW) babies alive and off mechanical ventilation at 7 days, and median days on mechanical ventilation for ELBW.

Presentation transcript:

Bubble CPAP Best way to treat Respiratory Distress in Neonates Jay Kothadia, MD Pediatrix Medical Group Presbyterian Hospital Charlotte, NC

Average Daily Census 2000-2007

Monthly Average Daily Census Presbyterian Hemby ICN 2006

ICN SURVIVAL 2003-2006 Gestational Age 94.6% Survival N = 1,836

02 Saturation Management April 2005

Bubble CPAP April 2006

CPAP advantages Stabilizes alveoli, prevents collapse or atelectasis. Achieves better lung volume Provides better ventilation/perfusion match Conserves surfactant Increases lung compliance

CPAP advantages Decreases need for intubation's, surfactant and mechanical ventilation. Improved work of breathing. Lower concentration of FiO2 need. Decreases days on O2. Lower risk for BPD.

CPAP advantages Decreases Ventilator associated Pneumonias. Decreases risk for nosocomial sepsis. Decreases severity of ROP. Possible better growth. May decreases length of Hospital stay.

Annual Survanta usage

Sufactant Expense 2005-2007

Average Ventilator days by GA 2004-2006

< 30 wks GA babies diagnosed with Hypotension 2004-2006

< 30 wks GA babies treated with Dopamine or Dobutamine 2004-2006

< 30 wks GA babies treated with Decadron 2004-2006

Surgical ROP before and after O2 saturation change (percent) 15 months before and after O2 policy change.

< 30 wks GA babies discharged home on Oxygen 2004-2007

< 30 wks GA babies: Average length of stay 2004-2007

Average Length of Stay (Days) Hemby Intensive Care Nursery 2004-2006

ICN SURVIVAL 2004-2007 Gestational Age

Starting Bubble CPAP Dedicated team Education Equipment and supply Criteria to place on CPAP Monitor placement

Bubble CPAP