CPAP BEDSIDE APPLICATION IN NEWBORN third edition 2025 Rajiv Rakesh Wung

Data

Our published data from Amritha Institute of Medical Sciences Kochi indicate upto 73 percent of premature babies 1000 gram and above with respiratory distress RDS canbe managed with non invasive ventilation / CPAP continous positive airway pressure. This group forms the major chunk of babies with RDS. worldwide. NIV uses a nasal interphase use, instead of putting a endotracheal tube in lungs. The implication is immense. There are 760 centres in india doing ventilatory care. Only 40 percent of this maintain international standards. The problem lies in the funding, maintenance, staff training and meticulous infection control. Care of a baby on invasive ventilation is a double edged sword. Despite ventilatory success babies succumb due to hospital acquired infection. A huge chunk is from the endotracheal tube of a invasively ventilated newborn. Infection is the biggest killer of babies on invasive ventilator support. Non invasive ventilation applies tubes to the nose analogous to electrical plug and socket. Infection risk is tremendously reduced as well of risk of lung injury and bronchopulmonary dysplasia BPD. There is a worldwide requirement of such a book, especially in LMIC. In most neonatal intensive care units ratio of ventilator "/ Cpap is one to 4. The cost of CPAP machine is 75000 INR whereas a ventilator would be 20 lac INR. In government hospitals or LMIC it would be difficult to repair or maintain a ventilator long term.

The BOOK

My initial book on CPAP Bedside Application in Newborn Jaypee 2008, 2011 did very well. It was a excellent primer on CPAP as remarked by Dr Richard Polin head of newborn columbia university usa, editor of the main neonatology textbook, Neonatal Perinatal Medicine, Polin and Fox. They use CPAP in babies as small as 450 grams and are world authorities on CPAP. Our new textbook will be a best seller in all developing and developing countries This book will complement our main textbook going for second edition. There is a quantum shift this decade not to invasively ventilate a baby with RDS. Dr Jen Tein Wung is the most expert practitioner in CPAP worldwide from Columbia university New york USA Dr Rakesh Sahani another worldwide acclaimed exponent on CPAP will be co-editor of the third edition.

Target population

All NICUs worldwide intensivists , nurses , post graduates