Quality Improvement Project: Implementing Guidelines Supporting Noninvasive Respiratory Management for Premature Infants

Abstract

After implementation of the quality improvement initiative, there was a statistically significant increase in the rate of using continuous positive airway pressure (CPAP ) by 65.3 percent for initial respiratory stabilization of preterm infants.

Noninvasive Respiratory Support for Newborns

“…The final score was ≥18 predicted CPAP failure with 75% sensitivity and 70% specificity; the positive and negative likelihood ratios were 2.46 and 0.36, respectively. Increasing CPAP success rates : Administration of early rescue surfactant by InSurE technique (moderate-quality evidence for a reduction in the need of mechanical ventilation), quality of nursing and supportive care, 167 experience of the unit in using CPAP, 167 ongoing quality improvement project for improving CPAP efficacy and safety. 168 …”