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Oral continuous positive airway pressure (CPAP) following nasal injury in a preterm infant
  1. H R Carlisle1,2,
  2. C O F Kamlin1,3,4,
  3. L S Owen1,4,
  4. P G Davis1,3,4,
  5. C J Morley1,3,4
  1. 1Neonatal Services, Royal Women's Hospital, Melbourne, Australia
  2. 2Department of Neonatology, The Canberra Hospital, Garran, Australia
  3. 3University of Melbourne, Melbourne, Australia
  4. 4Murdoch Childrens Research Institute, Melbourne, Australia
  1. Correspondence to Hazel Carlisle, Centre for Newborn Care, Department of Neonatology, The Canberra Hospital, PO Box 11, Woden, ACT 2606, Australia; Hazel.Carlisle{at}


Non-invasive respiratory support is increasingly popular but is associated with complications including nasal trauma. The present report describes a novel method of oral continuous positive airway pressure (CPAP) delivery in an extremely premature infant with severe nasal septum erosion.

The distal end of a cut down endotracheal tube was passed through a small hole made in the teat of a dummy (infant pacifier) and sutured in place. The dummy was secured in the infant's mouth and CPAP was delivered to the pharynx. The device was well tolerated and the infant was successfully managed using this technique for 48 days, avoiding endotracheal intubation and ventilation.

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  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent Obtained.