Infant nasal CPAP masks can cause irritation or nasal trauma and slip out of place. This simple fix uses a Velcro mustache and hat to prevent this.
Out of the softer side of the Velcro, cut two strips, peel off the backing, and wrap them around the tubing with enough separation so they lie outside of the infant’s nose.
Cut a piece of Tegaderm and the rough side of the Velcro in the same figure 8- shape. They should fit under the infant’s nose and be long enough to lay beneath both pieces of Velcro on the mask.
Cut a compression sock to roughly 10”, roll over both ends twice, and tie with silk tape to form a hat.
Attach the Tegaderm and then the rough Velcro to the infant’s upper lip and place that hat on its head. Secure the tubing with the Velcro and hat. Attach safety pins to the hat on either side of each tube and connect two rubber bands across the pins and over each tube.
Note: In the event that bag and mask ventilation is needed, the Velcro should be removed as it may prevent a seal from forming.
Chan, KM, and HB Chan. "The Use of Bubble CPAP in Premature Infants: Local Experience." Hong Kong Journal of Paediatrics 12 (2ing a 007): 86-92. Hong Kong Journal of Paediatrics. Medcom Limited, 15 Feb. 2007. Web. 30 June 2017.
Helou, S., H. J. Birenbaum, D. Blue, M. A. Pane, and G. A. Marinkovich. "The Velcro Mustache: A Potential Barrier to Effective Bag-and-Mask Ventilation in Neonates on Nasal CPAP: Two Case Reports." Respiratory Care 56.7 (2011): 1040-042. Web.
Sahni, Rakesh, and Jen-Tien Wung. "Continuous Positive Airway Pressure (CPAP)." The Indian Journal of Pediatrics 65.2 (1998): 265-71. PubMed. Web. 30 June 2017.