RT Journal Article
SR Electronic
T1 Oral continuous positive airway pressure (CPAP) following nasal injury in a preterm infant
JF Archives of Disease in Childhood - Fetal and Neonatal Edition
JO Arch Dis Child Fetal Neonatal Ed
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP F142
OP F143
DO 10.1136/adc.2009.170084
VO 95
IS 2
A1 Carlisle, H R
A1 Kamlin, C O F
A1 Owen, L S
A1 Davis, P G
A1 Morley, C J
YR 2010
UL http://fn.bmj.com/content/95/2/F142.abstract
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.