PT  - JOURNAL ARTICLE
AU  - Carlisle, H R
AU  - Kamlin, C O F
AU  - Owen, L S
AU  - Davis, P G
AU  - Morley, C J
TI  - Oral continuous positive airway pressure (CPAP) following nasal injury in a preterm infant
AID  - 10.1136/adc.2009.170084
DP  - 2010 Mar 01
TA  - Archives of Disease in Childhood - Fetal and Neonatal Edition
PG  - F142--F143
VI  - 95
IP  - 2
4099  - http://fn.bmj.com/content/95/2/F142.short
4100  - http://fn.bmj.com/content/95/2/F142.full
SO  - Arch Dis Child Fetal Neonatal Ed2010 Mar 01; 95
AB  - 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.