The use of nasal continuous positive airway pressure (CPAP) as the initial mode of respiratory support in critically ill very low birth weight infants is associated with a lower incidence of chronic lung disease. Evidence also supports the role of nasal CPAP in facilitating weaning from mechanical ventilation and reducing lung injury. However, nasal CPAP success rates are widely variable and may be attributable to how well it is utilized. With recent renewed interest in bubble nasal CPAP, it is essential to evaluate strategies for success that may depend on the using correct CPAP devices, attention to detail and caregiver experience. This unique program will share successful bubble nasal CPAP experience at the Morgan Stanley Children’s Hospital of New York, Columbia University Medical Center and discuss rationale, practical aspects and strategies for replicating success with bubble CPAP use. These management protocols have been practiced successfully for more than forty-five years and have been shown to reduce chronic lung disease without increasing morbidity and mortality.
This two-day course will cover virtually all aspects of neonatal respiratory care, including kinder, gentler mechanical ventilation, patient-triggered ventilation, NAVA, high frequency ventilation, non-invasive modes of respiratory support, one-lung ventilation, surfactant therapy, inhaled nitric oxide therapy, and the use of laryngeal mask airway. Participants will become familiar with the application and pitfalls of bubble nasal prong CPAP therapy and ventilatory strategies in infants with respiratory distress. We will also address strategies for CPAP success from nursing perspective, clinical care of patients with RDS, oxygen targeting during resuscitation and intensive care, preventive strategies for BPD, persistent pulmonary hypertension in term and preterm infants, pulmonary hypertension in infants with chronic lung disease, and fetal surgery. Innovations in monitoring during neonatal intensive care, screening for congenital heart disease and Pearls in Neonatology will also be discussed. The conference will include didactic presentations as well as simulation sessions with hands-on workshops, NICU tours, videos, and Q & A sessions. An extensive syllabus will be provided in electronic format. At the conclusion of this conference, participants will be able to recognize the rationale for using bubble nasal CPAP, familiarize with practical aspects of effective bubble CPAP use, and identify strategies for replicating and evaluating success with bubble nasal CPAP and other respiratory care practices at their own institutions.
This conference is intended for the entire neonatal critical care team: physicians, nurses, nurse practitioners, respiratory therapists, physician assistants, and other allied health professionals practicing in the neonatal intensive care arena interested in improving respiratory care outcomes in neonates. Attendance by complete physician-nurse-respiratory therapist teams is strongly recommended and encouraged. As hands-on sessions are a significant part of this program the number of participants is limited and therefore, early registration is strongly advised.