There may be variations in treatment recommended by your physician based on individual facts and circumstances. The goal of oxygen therapy is to provide adequate tissue oxygenation without undue risk of oxygen toxicity. No specific contraindications to oxygen therapy exist when indications are judged to be present. The prongs are inserted into the patient's nares, and the tubing is secured to the patient's face. Inadvertent CPAP may be administered depending upon the size of the nasal cannula, the gas flow, and the infant's anatomy o Irritation can result if flows are excessive.
Nasopharyngeal catheters Are soft tubes with several distal holes.
The reservoir receives fresh gas plus exhaled gas approximately equal to the volume of the patient's anatomic dead space. A series of one-way valves placed at the reservoir opening and on the side ports, ensures a fresh oxygen supply with minimal dilution from the entrainment of room air. This design provides a higher FIO2 than the simple and partial-rebreathing masks and the nasal devices. ECMO may improve survival in infants with CDH who have continued respiratory failure after repair. Given the increased vulnerability of the congenitally hypoplastic lung to mechanical ventilation, institution of ECMO should be considered earlier in these infants.