Review Article

Bubble Nasal Continuous Positive Airway Pressure (bNCPAP): An Effective Low-Cost Intervention for Resource-Constrained Settings

Table 1

Indications and contraindications for NCPAP.

IndicationsContraindications

Respiratory distress syndromeProgressive respiratory failure (, )
Apnea of prematurity (obstructive apnea)Poor respiratory drive with frequent apnea or bradycardia not improved by CPAP
Transient tachypnea of the newbornSevere cardiovascular instability (hypotension)
Respiratory distress due to perinatal asphyxiaCongenital malformations (choanal atresia, cleft lip and palate, Pierre Robin sequence, congenital diaphragmatic hernia, and tracheoesophageal fistula)
Meconium aspiration syndrome
Congenital pneumonia
Postextubation in preterm VLBW infants
Laryngomalacia/tracheomalacia/bronchomalacia

References: [8, 18, 27ā€“29].