@Traci Wolbrink: this was amazing. I am heading to a hospital in Kapsowar Kenya in one week and will be putting this training to use. I was so happy to find this video online as it’s been years since I’ve done neonatal resuscitation and PICU.
I live in the Dominican Republic, in a city called Montecristi. We do not have a neonatal intensive care unit and many materials are difficult to do anything. That cpap is useful and easy to do. Very well explained.
Thank you for a thorough and informative video demonstration. Is there consideration to placing the expiratory bubbler BELOW the baby to prevent condensed water from draining back to the patient? Great work and thank you for the video.
This video has been very helpful and educative, I have a baby who was born at 30weeks 6days, and I noticed he was having difficulties breathing regardless the cpap bubble formula, been in africa some nurses and doctors are very ignorant and rude, and we lack a proper healthcare system, watching this video made it easy for me to assist the connection on my baby and why he was running out of air and turning skin color... after watching this video I realized they dint connect one of the pipes the blue one was left isolated its very sad and as I speak my boy is still under NICU
Thanks for this video. This bubble CPAP is very effective. But the problem we usually encounter in my facility is the nasal cannula which doesn't fix easily especially with very preterm. Also, the tubing is another problem. It's too big and long making the whole thing difficult to set up. It usually tiring and time consuming particularly if facing difficulty or when not bubbling and you have the baby desaturating. Oxygen availability is another challenge. Also interrupted power supply if using the WHO CPAP machine. Suggestion: It will be easy to set up if the nasal catheter or the whole tubing is designed ,simple, like the normal nasal prongs. Beside the difficulty or challenges of the tubing, it is very very effective
Very creative! Thank you! ..can you add an ETCO2 device on the exhalation part of the circuit? I have had adult pts with complaints of dry nose even with cool humidifier. I've also used in the past a heater to surround a large volume nebulizer. Can a heater be placed to humidify the humidifier? or an HME on the inspiratory side of the circuit? This way, the alveoli or lung membrane won't dry! That could make diffusion more difficult!
thank you for this video very helpful in a low resource area. may i just ask what to do if there's no available blender in the area? is it helpful to use compressed air? how to go about the connections? thank you in advance for taking time in answering my concerns
If you get a venturi adaptor from a venti mask, it may be possible to give specific FiO2 to prevent toxicity. It will also deliver fast flow to treat or prevent or meet strong inspiratory effort. if you have time, look at the Sao2 , the baby's respiratory rate, inspiratory effort, and inspiratory flow. When you see respiratory rate slowing down to a normal value, the patient's stress/rib cage/nares, improving, O2 Sats stabilizing, heart rate stabilizing, and acceptable SaO2s, then you may be meeting baby's demands. Do vital signs and monitor! make sure the other personnel is trained on set up, so baby won't go in distress. because it will happen right away!...for the sake of preventing gastric insufflation and to ventilate without a vent, place a feeding tube. humidity is very important, lung membranes don't work without it! that's what makes diffusion possible! Best wishes!
Thanks very Much the Video for CPAP set up was Very Helpful ... But one Question That I want to get clear is Why 5cm into the Water ?? Not 7cm or any Figure and is it the Same CmH2O for all Age Groups ?? Thank you, Looking forward to Your Responses !
CPAP means continuous positive airway pressure. So mostly the mean pressure in the lungs especially for babies is around 5cmH20. So when the baby exhales, he/she exhales against pressure of 5cmH20 which is generated by the water set at 5. Since CPAP is a continuous pressure so even at the end of exhalation the baby can maintain a minimum pressure of 5cmH20 in the lungs. Hope this help a little
Hi Mam, the video is very useful, Please elaborate on what height should the bottle be kept with reference to the baby. Also please add to the video the details about selection of correct size cannula
Try to make sure the bay's neck is aligned with the shoulders. This way, the air/pressure is more likely to go into the lungs and not the stomach. i do this with patients in sleep studies. If baby has upper airway inflammation, may consider giving racemic-epinephrine aerosol treatment. it will make a difference, and will also dilute the airways. make sure humidity is good, warms is best, the lung membrane don't work well without it.O2 diffusion will be low, best wishes!
I Dr Kaushal Kumar ,Paediatrician , U.P. ,India . It's a nice demonstration but how would be FiO2 % is measured and to be set in this manual bubble cpap system . Please add this in the video . Thanking you ! Madam!
Thank you for sharing. A lucid demonstration. Would like to know whether placing the bubble bottle high or lower than baby's body create a differential CPAP.
The water level should not matter. The atmospheric P is the same. However, I would place it at level or lower than pt, so if bottle tips over, the water will not go into the circuit and to the baby.
@Traci Wolbrink: this was amazing. I am heading to a hospital in Kapsowar Kenya in one week and will be putting this training to use. I was so happy to find this video online as it’s been years since I’ve done neonatal resuscitation and PICU.
This was s really of help to us who work in the limited resource areas.
Thank you so much
this resource is more than enough for tapping ascitic fluid. I don't know what more resources you are talking about.
As a new NICU, I can't thank you enough for this video...extremely helpful
I live in the Dominican Republic, in a city called Montecristi. We do not have a neonatal intensive care unit and many materials are difficult to do anything. That cpap is useful and easy to do. Very well explained.
This is the best video on this topic o youtube! Thank you for explaining this concept so clearly!
Thank you for a thorough and informative video demonstration. Is there consideration to placing the expiratory bubbler BELOW the baby to prevent condensed water from draining back to the patient? Great work and thank you for the video.
That was very very helpful. I was struggling with the troubleshooting and the complications. Thanks very much mam. A lot of respect from Pakistan.
This video has been very helpful and educative, I have a baby who was born at 30weeks 6days, and I noticed he was having difficulties breathing regardless the cpap bubble formula, been in africa some nurses and doctors are very ignorant and rude, and we lack a proper healthcare system, watching this video made it easy for me to assist the connection on my baby and why he was running out of air and turning skin color... after watching this video I realized they dint connect one of the pipes the blue one was left isolated its very sad and as I speak my boy is still under NICU
This is very educative. Thank you
Excellently explained! Thank you very much.
Thank you very much doctor! Great explanation! Very useful for low resources hospital.
Was very efficient and very helpful 👏 👌 👍 😊 👏 👌
This video was very well put together.
Very well explained. Thank you
Extremely Useful.
Thank you
Thank you for the video...really helpful
how do we guide against the water flowing back through the expiratory limb
Very well done ad explained. Any videos on IV fluids and nutrition for neonates?
Thanks for this video. This bubble CPAP is very effective. But the problem we usually encounter in my facility is the nasal cannula which doesn't fix easily especially with very preterm.
Also, the tubing is another problem. It's too big and long making the whole thing difficult to set up.
It usually tiring and time consuming particularly if facing difficulty or when not bubbling and you have the baby desaturating.
Oxygen availability is another challenge.
Also interrupted power supply if using the WHO CPAP machine.
Suggestion:
It will be easy to set up if the nasal catheter or the whole tubing is designed ,simple, like the normal nasal prongs.
Beside the difficulty or challenges of the tubing, it is very very effective
Thank you
Nice job showing how to MacGyver the Bubble CPAP
Simple, Clear and Useful.
Good work done keep it up
Very creative! Thank you! ..can you add an ETCO2 device on the exhalation part of the circuit? I have had adult pts with complaints of dry nose even with cool humidifier. I've also used in the past a heater to surround a large volume nebulizer. Can a heater be placed to humidify the humidifier? or an HME on the inspiratory side of the circuit? This way, the alveoli or lung membrane won't dry! That could make diffusion more difficult!
Hi new fan here and tnx for sharing
Thanks! It was really helpful
Very helpful
Great demonstration. A big problem is that it delivers very cold air that can cause drying and bleed. Caution.
that's why theres a humidifier and most cpap like the phoenix cpap 300 come with a heater unit which warms up the air
thank you for this video very helpful in a low resource area. may i just ask what to do if there's no available blender in the area? is it helpful to use compressed air? how to go about the connections? thank you in advance for taking time in answering my concerns
Thank u
This an amazing innovation 💡 please thank you for your IQ
If you get a venturi adaptor from a venti mask, it may be possible to give specific FiO2 to prevent toxicity. It will also deliver fast flow to treat or prevent or meet strong inspiratory effort. if you have time, look at the Sao2 , the baby's respiratory rate, inspiratory effort, and inspiratory flow. When you see respiratory rate slowing down to a normal value, the patient's stress/rib cage/nares, improving, O2 Sats stabilizing, heart rate stabilizing, and acceptable SaO2s, then you may be meeting baby's demands. Do vital signs and monitor! make sure the other personnel is trained on set up, so baby won't go in distress. because it will happen right away!...for the sake of preventing gastric insufflation and to ventilate without a vent, place a feeding tube. humidity is very important, lung membranes don't work without it! that's what makes diffusion possible! Best wishes!
Thanks very Much the Video for CPAP set up was Very Helpful ... But one Question That I want to get clear is Why 5cm into the Water ?? Not 7cm or any Figure and is it the Same CmH2O for all Age Groups ?? Thank you, Looking forward to Your Responses !
CPAP means continuous positive airway pressure. So mostly the mean pressure in the lungs especially for babies is around 5cmH20. So when the baby exhales, he/she exhales against pressure of 5cmH20 which is generated by the water set at 5. Since CPAP is a continuous pressure so even at the end of exhalation the baby can maintain a minimum pressure of 5cmH20 in the lungs. Hope this help a little
Hi Mam, the video is very useful, Please elaborate on what height should the bottle be kept with reference to the baby. Also please add to the video the details about selection of correct size cannula
Thank you, well communicated, Great job!
Can we use this system for covid 19 aldult patient? I am from Vietnam.
Try to make sure the bay's neck is aligned with the shoulders. This way, the air/pressure is more likely to go into the lungs and not the stomach. i do this with patients in sleep studies. If baby has upper airway inflammation, may consider giving racemic-epinephrine aerosol treatment. it will make a difference, and will also dilute the airways. make sure humidity is good, warms is best, the lung membrane don't work well without it.O2 diffusion will be low, best wishes!
I Dr Kaushal Kumar ,Paediatrician , U.P. ,India .
It's a nice demonstration but how would be FiO2 % is measured and to be set in this manual bubble cpap system .
Please add this in the video .
Thanking you !
Madam!
Thank you for sharing. A lucid demonstration. Would like to know whether placing the bubble bottle high or lower than baby's body create a differential CPAP.
Useful vedeo. But i want to ask one thing how can give nebulization. Via buble cpap
Hi, I have a question. Why is some of the tubing corrugated. does corrugated tubing help in some way? thank you
I think ,the corrugated tubes make the air flow stream smooth .
thx 4r this video
How often do you change/rotate the delivery interface? Our facility wants q2... mask.. to prongs..
Easily understandable 👍tqsm
how much should be the flow rate? flow rate and humidification ratio?
What is the maximum duration for using bubble cpap?
Amazing explained
Awesome superb for new setup
The water level should not matter. The atmospheric P is the same. However, I would place it at level or lower than pt, so if bottle tips over, the water will not go into the circuit and to the baby.
Thanks a lot
I only see bubbles on expiration, what's wrong. is that or or dangerous?
What about the volume of water in the bottle ???
Hi, dear Mr.OPENPediatrics, could you tell me how to contact you? we want to cooperate with you, look forward to your reply, thank you.
Espectacular!
good job. thank you very much
Great video. Not too long. Content just ok
Very useful
thanks a lot
Whre is air socket
Thanks for sharing
Tnx
Tqq.
I'm gonna try this on my bebe when hes acting up
Pliss..translate to indonesia
Thank you
Thank you