The Velcro Mustache: A Potential Barrier to Effective Bag-and-Mask Ventilation in Neonates on Nasal CPAP: Two Case Reports

Authors: Helou, Sabah; Birenbaum, Howard J; Blue, Daniel; Pane, Maria A; Marinkovich, Gregory Andre

Source: Respiratory Care, Volume 56, Number 7, July 2011 , pp. 1040-1042(3)

Publisher: The Journal Respiratory Care Company

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Abstract:

Hudson prongs (Hudson RCI, Teleflex Medical, Research Triangle Park, North Carolina) (a device to deliver nasal continuous positive airway pressure) are often secured with a “Velcro mustache“ in neonatal intensive care units. We report 2 premature infants who required bag-and-mask ventilation while on Hudson prongs secured with a Velcro mustache. Effective ventilation was achieved only after removing the Velcro mustache.

Keywords: Hudson prongs; Velcro mustache; continuous positive airway pressure; CPAP; neonate; quality improvement

Document Type: Research article

DOI: http://dx.doi.org/10.4187/respcare.01048

Affiliations: 1: Division of Neonatology, Department of Pediatrics, Greater Baltimore Medical Center, Baltimore, Maryland, USA

Publication date: 2011-07-01

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