Pressure/Flow : We are supposed to initially place the infant at 5 cm H2O of CPAP; does it need to stay at that level regardless of the infant’s condition?
Yes. The CPAP pressure should remain at 5. We do not suggest that the pressure ever be weaned, as if to wean the infant off CPAP. We will permit though; a ‘last ditch’ effort to increase the pressure to 7 should an infant experience respiratory failure that does not improve after following the “Checklist for Evaluating the CPAP Delivery System During Respiratory Failure”, pg 27 of your CPAP Education and Training Manual.
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