Agenda

The 2024 Bubble CPAP & Non-Invasive Respiratory Management of the Neonate Conference

December 7-8, 2024

The Gaylord Conference Center, National Harbor, MD 20745

 

TOPIC

How intubation and/or mechanical ventilation lead to lung injury in the preterm infants:

  • The Barotrauma, Volutrauma and Oxytrauma effect

Extubating the Preterm Infants to non-Invasive Respiratory Support:

  • Arts, Science or Gamble?

Why bubble CPAP? (the success story of bubble CPAP in reducing CLD)

  • bCPAP vs. intubation and mechanical ventilation
  • bCPAP vs. machine generated CPAP or HFNC

Bubble CPAP as a therapy to the premature lung (bCPAP and improved lung function) 

  • The Effect of Extended CPAP on Changes in Lung Volumes, a RCT Phase 1 and Phase 2

How does the bubble CPAP work? (Physiology and Mechanics of Bubble CPAP)

  • The bubble CPAP system
  • How does bCPAP recruit and sustain lung volume

What is the Bubble CPAP? (The Bubble CPAP circuit)

  • Assembly of the bCPAP circuit
  • Troubleshooting of the bCPAP circuit

Management of Infants on bCPAP (navigating the preterm infant on non-invasive support)

  • Initiation and maintenance of bubble CPAP
  • Weaning of bCPAP

Bedside Application of bCPAP nasal interface (Nursing care of infants on bCPAP)

  • Applying Bubble CPAP Nasal Interface
  • Maintenance of nasal prongs vs. nasal mask

Navigating Challenges with bCPAP Application (making bCPAP experience successful)

  • Maintaining a functional bCPAP circuit
  • Prevent nasal septum injury

Reproducibility of bCPAP in Different Clinical Settings
(Role of education and training in the success of bCPAP)

  • The GWU Hospital Experience
  • The Cleveland Clinic Experience

Adjunct management strategies with bCPAP (1)

  • Feeding with bCPAP
  • Treating PDA with bCPAP
  • Transfusion with bCPAP

Adjunct management strategies with bCPAP (2)

  • Managing PPHN with bCPAP
  • Control of supplemental FiO2 with bCPAP
  • Use of caffeine with bCPAP

Surfactant with bCPAP (Non-invasive Surfactant Instillation)

  • ENSURE
  • SALSA
  • MIST
  • LISA

How to Start a bCPAP Program in Your Unit? 
(The Quality Improvement Project of bCPAP)

  • Plan for success
  • The bedside monitoring system

How to Maintain the bCPAP Program in Unit? 
(The Quality Assurance Program of bCPAP)

  • Scale your bCPAP program.
  • Keep your auditing system in action

Hands-on Session

  • Application of nasal interface
  • Setting up the respiratory circuit
  • LISA/MIST application

Conclusion – Q&A

Measures of Success of bCPAP

  • No intubation
  • Swift extubation
  • Long term use