CPAP System and Neonatal Care

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Questions and Answers

What is the effect of bCPAP on mean airway pressures?

  • It significantly decreases mean airway pressures
  • It significantly increases mean airway pressures
  • It has a variable effect on mean airway pressures depending on the infant's weight
  • It has no significant effect on mean airway pressures (correct)

What is the effect of bCPAP on lung inhomogeneity?

  • It maintains lung inhomogeneity
  • It has no significant effect on lung inhomogeneity
  • It decreases lung inhomogeneity (correct)
  • It increases lung inhomogeneity

What is the effect of bCPAP on neutrophil migration and hydrogen peroxide production in preterm lambs?

  • It decreases neutrophil migration and hydrogen peroxide production (correct)
  • It increases neutrophil migration and hydrogen peroxide production
  • It maintains neutrophil migration and hydrogen peroxide production
  • It has no significant effect on neutrophil migration and hydrogen peroxide production

What is the effect of bCPAP on total lung capacity in animal studies?

<p>It increases total lung capacity by 40% (A)</p> Signup and view all the answers

What is the effect of early initiation of bCPAP on the incidence of bronchopulmonary dysplasia (BPD) in very low birth weight infants?

<p>It reduces the incidence of BPD (B)</p> Signup and view all the answers

What is a potential complication that can result from excessive CPAP?

<p>Impaired cardiac output (D)</p> Signup and view all the answers

What is a recommended method to avoid nasal injury from nasal prongs?

<p>Alternating between short binasal prongs and mask (B)</p> Signup and view all the answers

What is a contraindication for the application of bCPAP?

<p>Unrepaired congenital diaphragmatic hernia (C)</p> Signup and view all the answers

What is a potential consequence of nasal obstruction during NCPAP?

<p>Impaired oxygenation (A)</p> Signup and view all the answers

What is a complication that can result from gastric distension during CPAP?

<p>Feeding intolerance and gastroesophageal reflux (B)</p> Signup and view all the answers

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Study Notes

bCPAP Effects on Mean Airway Pressure

  • bCPAP increases mean airway pressures.

bCPAP Effects on Lung Inhomogeneity

  • bCPAP decreases lung inhomogeneity, promoting more uniform ventilation.

bCPAP Effects on Neutrophil Migration and Hydrogen Peroxide Production

  • bCPAP reduces neutrophil migration and hydrogen peroxide production in preterm lambs, potentially mitigating inflammation.

bCPAP Effects on Total Lung Capacity

  • bCPAP increases total lung capacity in animal studies.

bCPAP Effects on Bronchopulmonary Dysplasia (BPD)

  • Early initiation of bCPAP lowers the incidence of BPD in very low birth weight infants.

bCPAP Complications

  • Excessive CPAP can lead to pneumothorax, a potentially serious condition.

Preventing Nasal Injury from Nasal Prongs

  • Rotation of nasal prongs every 24 hours helps prevent nasal injury.

Contraindications for bCPAP

  • Choanal atresia, a congenital condition where the back of the nasal passages are blocked, is a contraindication for bCPAP.

Consequences of Nasal Obstruction

  • Nasal obstruction during NCPAP can result in ineffective ventilation.

Gastric Distension Complications

  • Gastric distension during CPAP can lead to vomiting and aspiration, which can be life-threatening.

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