Bubble CPAP for Increased Lung Function in Premature Babies with Hany Aly, MD

Hany Aly, MD, Department Chari, Neonatology, Cleveland Clinic and Will Morris, MD, Executive Director, Innovations, Cleveland Clinic discuss bubble CPAP for increased lung function in premature babies - #6 on the Top 10 Medical Innovations for 2021.

Underweight and frail, babies born prematurely often require specialized care – including ventilation for those with infant respiratory distress syndrome (IRDS). For IRDS, infants are commonly administered surfactant during mechanical ventilation, a practice that can cause lasting lung injury in preterm infants and contribute to the development of chronic lung disease. Unlike mechanical ventilation, b-CPAP is a non-invasive ventilation strategy – delivering continuous positive airway pressure to newborns to maintain lung volumes during exhalation. The oscillating, rather than constant pressure, plays a role in its safety and efficacy, minimizing physical trauma and stimulating lung growth when administered over a prolonged period.

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In our CPAP machine we have three things to control one is oxygen flow from oxygen concentrator, second oxygen flow L/ min on CPAP machine and FiO2. Air it takes automatically to give FiO2. My query is about rate of flow from oxygen concentrator ( we don't have central oxygen) second oxygen flow on CPAP machine how to control these two please guide