Demonstration of Bubble CPAP for the Low Resource Environment by T. Wolbrink | OPENPediatrics

In this video, Dr. Traci Wolbrink discusses indications and contraindications for using bubble CPAP, different techniques for setting up a bubble CPAP system, as well as common issues that could arise, and how to troubleshoot them.


OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.

Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.

[asadullahkhan]

This is the best video on this topic o youtube! Thank you for explaining this concept so clearly!

[Dr_Rana]

That was very very helpful. I was struggling with the troubleshooting and the complications. Thanks very much mam. A lot of respect from Pakistan.

[rachaelomole]

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

[osaretin]

Thank you, well communicated, Great job!

[ashrafabogazia]

What about the volume of water in the bottle ???

[philipmbaju]

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 !

[gofishyfishy]

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.

[princessjazymine]

Great video. Not too long. Content just ok

[stevenr]

How often do you change/rotate the delivery interface? Our facility wants q2... mask.. to prongs..

[stephenchan]

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.

[jacksonagutu]

This was s really of help to us who work in the limited resource areas.
Thank you so much

[beniferniwagaba]

This an amazing innovation 💡 please thank you for your IQ

[rafaeld]

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.

[TaranVH]

This video was very well put together.

[rashemareis]

As a new NICU, I can't thank you enough for this video...extremely helpful

[greensahuaro]

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!

[docsanti]

Thank you very much doctor! Great explanation! Very useful for low resources hospital.

[PaulAcademy]

Excellently explained! Thank you very much.

[drkkpatthak]

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!

[greensahuaro]

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!