There are different methods of delivering CPAP treatment, such as Bubble CPAP.Bubble CPAP is a simple and cost-effective way to deliver CPAP to newborns, including premature babies or newborns with low birth weight.There are multiple benefits to providing continuous pressure, such as opening the upper airways, maintaining lung expansion, and preventing late-expiration alveolar collapse.
Bubble CPAP system setup?
To understand the Bubble CPAP setup, we should first identify the components of the system.
This guideline is intended to help you set up a safe and reliable Bubble CPAP system providing consistent and accurate delivery of CPAP.
Start with the humidifier turned off.
Gather the components required for Bubble CPAP Setup, including the heater wire adapter, temperature and flow probe adapter, Bubble CPAP delivery system, and water bag or bottle
Insert the chamber, Open the Bubble CPAP delivery system bag and take out the humidification chamber
Plunge down the finger guard and move the humidification chamber on the humidifier heater plate.
Remove the port caps on the top of the chamber.
Under the port caps, there is a water feed tube holder, remove it.
Hang and spike the water bag: Hang it on the pole and spike it if you are ready to use the system immediately. If you are installing theBubble CPAP for future use, the water feed set holder can be used to protect and keep its spike clean (do not use saline or any medicated fluids).
Supply the Bubble CPAP generator with sterile water until the water reaches the maximum level and flows in the overflow container.
Verify that the humidifier and Bubble CPAPgenerator is placed underneath the patient.
Insert the pressure manifold into the chamber.
Fit the oxygen tube between the pressure manifold and the flow outset
Join the heated inspiratory limb to the chamber
Connect the heater wire adapter to both humidifier and inspiratory limb
Join the other plug into the socket of the inspiratory limb elbow
Fully insert the chamber end probe into the keyed port of the inspiratory limb elbow ( “V” shape )
Fully insert the patient end probe into the port on the end of the inspiratory limb
Connect the clear expiratory tubing to the top of the CPAP probe and set the useful CPAP pressure by pulling out or pushing in the probe.
Connect the test flow elbow white connector to the inspiratory and expiratory limbs to have a closed system for checking air leaks once the elbow is in place, set the CPAP probe to 10 centimeters of water and the input flow rate to 1 liter per minute.
Regularly check the CPAP generator, if no bubbles are observed, check the whole system.
Detach the proper port cap from the pressure manifold before attaching any monitoring device, turn on the flow from the oxygen blender
Install the flow rate to the prescribed input flow rate recommended flow rate 6 to 8 liters per minute allowable flow range four to fifteen liters per minute number on the CPAP probe above the lid indicates the CPAP pressure in centimeters of water as an example the illustration shows CPAP setting of 6 centimeters of water.
Set the CPAP probe at the prescribed level 3 to 10 centimeters of water the flow test elbow
Connect the circuits to the infant interface using the instructions provided with the interface to ensure there is airflow present before turning on the humidifier.
You can now attach the interface to the patient using the commands furnished with the interface to make sure that the machine is running before connecting to the newborn.
The Bubble CPAP Institute is an interactive educational platform aiming to make the knowledge and skill set of Bubble CPAP accessible to practitioners who care for neonates and young infants across the globe. This platform will primarily focus on the know-how and will offer educational modules on issues like when to consider bCPAP in managing infants with respiratory distress, how to assemble the bCPAP circuits, how to apply the nasal interface and how to troubleshoot bedside issues.