CPAP (RPA) - Intensive Care & Coordination Monitoring Unit
CPAP (RPA) - Intensive Care & Coordination Monitoring Unit
CPAP (RPA) - Intensive Care & Coordination Monitoring Unit
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INDICATIONS FOR <strong>CPAP</strong>:<br />
• Acute respiratory failure<br />
• Pulmonary contusion and flail chest<br />
• Cardiogenic pulmonary oedema<br />
• Asthma<br />
• Chronic airways disease<br />
• Post-operative atelectasis<br />
• Obstructive sleep apnoea<br />
• Pneumonia<br />
CONTRAINDICATIONS:<br />
• Unstable facial fractures<br />
• Extensive facial lacerations<br />
• Laryngeal trauma<br />
• Recent tracheal or oesophageal<br />
anastomosis<br />
• Basal skull fracture, (use with caution)<br />
• Patients at risk of GIT bleeds/ileus<br />
USE WITH CAUTION<br />
• Patients with recent GI surgery<br />
• Decreased level of consciousness<br />
EQUIPMENT:<br />
Drager <strong>CPAP</strong> machine/Drager Ventilator with NIV function<br />
Ventilation tubing for wet circuit (humidification base in tubing pack)<br />
Sterile water bag<br />
<strong>CPAP</strong> mask and head strap<br />
PEEP valve (5,7.5, 10 or 12.5, may start with 10cmH20)<br />
Bacterial/viral filter (machine side of tubing)<br />
Test lung<br />
White rubber connector (for dedicated Drager <strong>CPAP</strong> unit only)<br />
<strong>CPAP</strong> MACHINE<br />
SET UP:<br />
See pictures below for assistance<br />
• Keep “Y” connector attached to ventilator tubing<br />
• Remove white side of vent tubing<br />
• Place bacterial/viral filter to <strong>CPAP</strong> machine, then attach short arm of blue tubing from filter<br />
to humidification bath<br />
• Attach long arm of blue tubing from humidification bath to <strong>CPAP</strong> mask<br />
• Assemble blue wire of humidification bath holder to blue tubing<br />
• Using white rubber connector attach PEEP valve to exposed end of “Y” connector<br />
• Perform safety valve check (see below)<br />
• Adjust prescribed Fi02 (use flow rate of 40L/min)<br />
Equipment for Designated <strong>CPAP</strong> circuit<br />
©ROYAL PRINCE ALFRED HOSPITAL INTENSIVE CARE SERVICE