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

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

Рет қаралды 155,818

Күн бұрын

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.
Please visit: www.openpediatrics.org
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.
For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu
Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by KZfaq. We apologize for any inconvenience this may cause.

Пікірлер: 65

@rashemareis4892 6 жыл бұрын

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

@jacksonagutu769 Жыл бұрын

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

@viddyasingh122 Жыл бұрын

this resource is more than enough for tapping ascitic fluid. I don't know what more resources you are talking about.

@1954rafaeld 6 жыл бұрын

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.

@bashiroyeyemi 7 жыл бұрын

Simple, Clear and Useful.

@docsanti8971 4 жыл бұрын

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

@asadullahkhan3825 2 жыл бұрын

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

@osaretin3302 6 жыл бұрын

Thank you, well communicated, Great job!

@TaranVH 5 жыл бұрын

This video was very well put together.

@PaulAcademy 2 жыл бұрын

Excellently explained! Thank you very much.

@kojoahor-essel1166 2 жыл бұрын

This is very educative. Thank you

@maheshr989 3 жыл бұрын

Extremely Useful. Thank you

@khaliljeromegilbert5906 2 жыл бұрын

This video has been very helpful and educative, I have a baby who was born at 30weeks 6days, and I noticed he was having difficulties breathing regardless the cpap bubble formula, been in africa some nurses and doctors are very ignorant and rude, and we lack a proper healthcare system, watching this video made it easy for me to assist the connection on my baby and why he was running out of air and turning skin color... after watching this video I realized they dint connect one of the pipes the blue one was left isolated its very sad and as I speak my boy is still under NICU

@genevivechimarame1378 3 жыл бұрын

Thanks! It was really helpful

@abdulhaleembahadur9040 5 ай бұрын

Very well explained. Thank you

@eyekpeghaoluwatofunmi7870 2 жыл бұрын

Thank you for the video...really helpful how do we guide against the water flowing back through the expiratory limb

@Dr_Rana Жыл бұрын

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

@obaidasherif7638 Жыл бұрын

Was very efficient and very helpful 👏 👌 👍 😊 👏 👌

@davidtello4049 4 жыл бұрын

Espectacular!

@greensahuaro2834 2 жыл бұрын

Very creative! Thank you! ..can you add an ETCO2 device on the exhalation part of the circuit? I have had adult pts with complaints of dry nose even with cool humidifier. I've also used in the past a heater to surround a large volume nebulizer. Can a heater be placed to humidify the humidifier? or an HME on the inspiratory side of the circuit? This way, the alveoli or lung membrane won't dry! That could make diffusion more difficult!

@enceendulue6388 5 жыл бұрын

good job. thank you very much

@arunabhprabhakar1296 4 жыл бұрын

Awesome superb for new setup

@stevenr672 5 жыл бұрын

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

@rachaelomole9130 2 жыл бұрын

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

@kajolchouhan4785 3 жыл бұрын

Amazing explained

@vivianawuah270 Жыл бұрын

Good work done keep it up

@jomiralles7539 3 жыл бұрын

thank you for this video very helpful in a low resource area. may i just ask what to do if there's no available blender in the area? is it helpful to use compressed air? how to go about the connections? thank you in advance for taking time in answering my concerns

@ruthdzifa8699 4 жыл бұрын

Thank you

@obaidasherif7638 Жыл бұрын

Thanks a lot

@niyitegekaemmanuel1731 2 жыл бұрын

thx 4r this video

@alexwonner7469 2 жыл бұрын

Very well done ad explained. Any videos on IV fluids and nutrition for neonates?

@elizabathh8710 4 жыл бұрын

Useful vedeo. But i want to ask one thing how can give nebulization. Via buble cpap

@kaleabgetachew823 4 жыл бұрын

thanks a lot

@manojkumar-fg5bx 5 жыл бұрын

Very useful

@gofishyfishy Ай бұрын

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.

@FahimaMDpaediatrics 4 жыл бұрын

how much should be the flow rate? flow rate and humidification ratio?

@veerchasm1 10 ай бұрын

Nice job showing how to MacGyver the Bubble CPAP

@neet-pg2024 4 жыл бұрын

What is the maximum duration for using bubble cpap?

@chrisrdgymnastics 3 жыл бұрын

Hi new fan here and tnx for sharing

@leenadhande5373 4 жыл бұрын

Hi Mam, the video is very useful, Please elaborate on what height should the bottle be kept with reference to the baby. Also please add to the video the details about selection of correct size cannula

@abroy77 5 жыл бұрын

Hi, I have a question. Why is some of the tubing corrugated. does corrugated tubing help in some way? thank you

@drkkpatthak3573 3 жыл бұрын

I think ,the corrugated tubes make the air flow stream smooth .

@tl854393 3 жыл бұрын

Can we use this system for covid 19 aldult patient? I am from Vietnam.

@tvramkumar 5 жыл бұрын

Great demonstration. A big problem is that it delivers very cold air that can cause drying and bleed. Caution.

@emmanuelbassey2733 5 жыл бұрын

that's why theres a humidifier and most cpap like the phoenix cpap 300 come with a heater unit which warms up the air

@poojamaripala1633 16 күн бұрын

Easily understandable 👍tqsm

@beniferniwagaba6824 2 жыл бұрын

This an amazing innovation 💡 please thank you for your IQ

@annalu3593 3 жыл бұрын

I only see bubbles on expiration, what's wrong. is that or or dangerous?

@bigeyehealthcare 4 жыл бұрын

Tqq.

@raselsmedicalservices 5 жыл бұрын

Tnx

@philipmbaju8805 4 жыл бұрын

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 !

@TroskyB 4 жыл бұрын

CPAP means continuous positive airway pressure. So mostly the mean pressure in the lungs especially for babies is around 5cmH20. So when the baby exhales, he/she exhales against pressure of 5cmH20 which is generated by the water set at 5. Since CPAP is a continuous pressure so even at the end of exhalation the baby can maintain a minimum pressure of 5cmH20 in the lungs. Hope this help a little

@zubairqasimrashdi6882 4 жыл бұрын

Thank you for sharing. A lucid demonstration. Would like to know whether placing the bubble bottle high or lower than baby's body create a differential CPAP.

@princessjazymine 4 жыл бұрын

Great video. Not too long. Content just ok

@jehangir3997 6 жыл бұрын

Thanks for sharing

@greensahuaro2834 2 жыл бұрын

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!

@greensahuaro2834 2 жыл бұрын

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!

@ashrafabogazia2131 2 ай бұрын

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

@drkkpatthak3573 3 жыл бұрын

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!

@elizabathh8710 4 жыл бұрын

Whre is air socket

@greensahuaro2834 2 жыл бұрын

The water level should not matter. The atmospheric P is the same. However, I would place it at level or lower than pt, so if bottle tips over, the water will not go into the circuit and to the baby.