Arch Dis Child Fetal Neonatal Ed 96:F156 doi:10.1136/adc.2010.203190
  • Postscript
  • Letter

Survey of nasal continuous positive airways pressure (NCPAP) and nasal intermittent positive pressure ventilation (NIPPV) use in Irish newborn nurseries

  1. Colm P F O'Donnell1,2,3,4
  1. 1The National Maternity Hospital, Dublin, Ireland
  2. 2National Children's Research Centre, Dublin, Ireland
  3. 3Our Lady's Children's Hospital, Dublin, Ireland
  4. 4School of Medicine and Medical Science, University College Dublin, Dublin, Ireland
  1. Correspondence to Dr Colm P F O'Donnell, Neonatal Intensive Care Unit, The National Maternity Hospital, Holles Street, Dublin 2, Ireland; codonnell{at}
  • Accepted 23 October 2010
  • Published Online First 16 November 2010

Nasal continuous positive airways pressure (NCPAP) reduces duration of ventilation and extubation failure in preterm infants with respiratory distress.1 Although starting preterm infants on NCPAP without prior ventilation (ie, primary treatment of respiratory distress) is as effective a strategy as routine ventilation2 and surfactant,3 NCPAP is rarely used in this way in the UK (reportedly 2% of units).4 A systematic review of interfaces and pressure sources found binasal prongs to be more effective than a single prong.5 A superior pressure source was not identified, although a recent randomised trial found advantages with bubble NCPAP (Fisher & Paykel Healthcare, Auckland, New Zealand) compared to the Infant Flow Driver (Viasys, Warwick …

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