On-going Respiratory Management
Babies who are still breathing irregularly following 2 minutes of mask CPAP should receive
5x3s inflation breaths using PIP 20-25cmH2O ensuring adequate chest wall rise and should
then be reassessed to determine whether on-going manual ventilation is required.
Use HR and Oxygen saturation nomograms to continually assess and adjust FiO2 and ventilator
support accordingly (NB maintain & check airway patency regularly).
In babies who establish regular respiration, but have increased work of breathing or who require
FiO2 >0.6 consider increasing CPAP pressure up to 8cmH2O.
Intubate and ventilate if by 10 minutes of age:
o HR still 60-100
o Respiration not established
o FiO2 >0.60
Babies who are still breathing irregularly following 2 minutes of mask CPAP should receive
5x3s inflation breaths using PIP 20-25cmH2O ensuring adequate chest wall rise and should
then be reassessed to determine whether on-going manual ventilation is required.
Use HR and Oxygen saturation nomograms to continually assess and adjust FiO2 and ventilator
support accordingly (NB maintain & check airway patency regularly).
In babies who establish regular respiration, but have increased work of breathing or who require
FiO2 >0.6 consider increasing CPAP pressure up to 8cmH2O.
Intubate and ventilate if by 10 minutes of age:
o HR still 60-100
o Respiration not established
o FiO2 >0.60
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