Use of Biphasic Continuous Positive Airway Pressure in Premature Infant with Cleft Lip–Cleft Palate

Abstract

Preterm infants (PIs) often require respiratory support due to surfactant deficiency. Early weaning from mechanical ventilation to noninvasive respiratory support decreases ventilation-associated irreversible lung damage. This wean is particularly challenging in PIs with cleft lip and cleft palate due to anatomical difficulties encountered in maintaining an adequate seal for positive pressure ventilation. PI with a cleft lip and palate often fail noninvasive respiratory support and require continued intubation and mechanical ventilation. We are presenting the first case report of a PI with cleft lip and palate who was managed by biphasic nasal continuous positive airway pressure.

Keywords

noninvasive ventilation - premature infant - cleft lip–cleft palate - BP-NCPAP

• References

• 1 Courtney SE, Barrington KJ. Continuous positive airway pressure and noninvasive ventilation. Clin Perinatol 2007; 34 (1) 73-92 , vi
• 2 Morley CJ, Davis PG. Continuous positive airway pressure: scientific and clinical rationale. Curr Opin Pediatr 2008; 20 (2) 119-124
• 3 McMahon RM, Bagchi I, Worsey S, Kumararatne B. Use of mask continuous positive airway pressure in a preterm infant presenting with bilateral cleft lip and palate. J Laryngol Otol 2006; 120 (3) 228-229