The Science Journal of the American Association for Respiratory Care

2012 OPEN FORUM Abstracts

THE IMPLEMENTATION OF NEONATAL BUBBLE CPAP: A MODEL FOR CLINICAL CHANGE.

Kevin Johnson, James Kluzak, Stella Riddell; Santa Barbara Cottage Hospital, Santa Barbara, CA

BACKGROUND: Throughout the years, bubble CPAP has proven to reduce the amount of lung tissue damage in the newborn. Benefits of bubble CPAP include: improved oxygenation and decreased work of breathing, a decreased number of days on oxygen, a decreased duration of mechanical ventilation, and a decreased incidence and morbidity of chronic lung disease. METHOD: A six month period was queried since the implementation of bubble CPAP in our NICU compared with the same six month duration the previous year. The patient population consisted of infants >28 weeks gestation and >1000 grams in weight that required respiratory intervention by invasive or non-invasive ventilation with the use of supplemental oxygen. RESULTS: The number of patient days on mechanical ventilation was reduced from 27 to 5 and the number of patient days on oxygen were reduced from 39 to 10 days. This reduction in invassive ventilation and oxygen administration were the result of an increase in bubble CPAP usage from 0 to 70 patient days. CONCLUSION: Since the implementation of Bubble CPAP at our facility there has been a marked reduction in patients requiring intubation and assisted ventilation as well as a reduction in supplemental oxygen requirements. Sponsored Research - None