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Updated: Jul 5, 2026

Preoxygenation Techniques for Tracheal Intubation in Critically Ill Adults Utilizing Oxygen Mask and Noninvasive Ventilation
Published on: December 5, 2025
The nursing care of the infant receiving bubble CPAP therapy
Krista M Bonner1, Rosalie O Mainous
1Neonatal Associates, PSC and University of Louisville, KY, USA. KBonner@insightbb.com
Insights
Continuous Positive Airway Pressure (CPAP) offers a simple, inexpensive respiratory support for preterm infants, proving effective in various clinical scenarios. Bubble CPAP requires proper training for optimal infant outcomes in managing lung conditions.
Area of Science:
- Neonatal Medicine
- Pediatric Respiratory Care
Background:
- Increasing survival rates of low birth-weight and premature infants present challenges like chronic lung disease and bronchopulmonary dysplasia.
- Assisted mechanical ventilation, while life-saving, can contribute to lung injury in vulnerable infants.
- Continuous Positive Airway Pressure (CPAP) has been a recognized respiratory support method since the 1970s.
Purpose of the Study:
- To highlight the utility of CPAP as an alternative respiratory treatment for preterm infants.
- To emphasize the specific benefits and applications of Bubble CPAP.
- To underscore the importance of proper training for Bubble CPAP implementation.
Main Methods:
- Review of evidence supporting CPAP's use in neonatal respiratory care.
- Description of Bubble CPAP as a specific delivery method.
- Emphasis on the necessity of training for setup, care, and infant evaluation.
Main Results:
- CPAP is effective in the delivery room, as rescue therapy, for extubation, and managing apnea of prematurity.
- Bubble CPAP provides continuous positive pressure simply and inexpensively.
- Adequate training is crucial for successful outcomes with Bubble CPAP.
Conclusions:
- CPAP, particularly Bubble CPAP, is a valuable tool in managing respiratory conditions in preterm infants.
- The simplicity and cost-effectiveness of Bubble CPAP make it an accessible option.
- Proper training and understanding are essential for maximizing the benefits of Bubble CPAP.
Abstract:
There are increasing numbers of low birth-weight and premature infants surviving with conditions such as chronic lung disease or bronchopulmonary dysplasia due to complications of assisted mechanical ventilation and other factors. Continuous positive airway pressure (CPAP) has been used as an alternative respiratory treatment to prevent and manage lung disease in preterm infants since the 1970s. Evidence has demonstrated the usefulness of CPAP in the delivery room, as a rescue therapy, as an extubation tool, and a method for managing apnea of prematurity. Bubble CPAP is a unique, simple, inexpensive way of providing continuous positive pressure to infants. Some background and training in the setup, care, and evaluation of the infant on bubble CPAP is essential for positive outcomes.
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