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The Nursing Care of the Infant Receiving Bubble CPAP Therapy

Bonner, Krista M. RNC, MSN, NNP1; Mainous, Rosalie O. RNC, PhD, NNP2

Section Editor(s): SHORT, MARY RN; IKUTA, LINDA RN, MN, CCNS, PHN

doi: 10.1097/01.ANC.0000317256.76201.72
Foundations in Newborn Care
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There are increasing numbers of low birth-weight and premature infants surviving with conditions such as chronic lung disease or bronchopulmonary dysplasia due to complications of assisted mechanical ventilation and other factors. Continuous positive airway pressure (CPAP) has been used as an alternative respiratory treatment to prevent and manage lung disease in preterm infants since the 1970s. Evidence has demonstrated the usefulness of CPAP in the delivery room, as a rescue therapy, as an extubation tool, and a method for managing apnea of prematurity. Bubble CPAP is a unique, simple, inexpensive way of providing continuous positive pressure to infants. Some background and training in the setup, care, and evaluation of the infant on bubble CPAP is essential for positive outcomes.

1Neonatal Associates, P.S.C. and University of Louisville, Kentucky, and 2University of Louisville, Kentucky.

Address Correspondence to Krista M. Bonner, RNC, MSN, NNP, 9003 Crowne Springs Circle #306, Louisville, KY 40241; KBonner@insightbb.com

The author has no significant ties, financial or otherwise to any company that may have an interest in the publication of this educational activity.

© 2008 National Association of Neonatal Nurses