Complications of CPAP & Management

CPAP is generally safe. Except for infrequent complications;

1.Pressure necrosis of skin

Particularly of the nasal bridge. Early application of a colloid dressing (or similar) may help avoid this.

2.Gastric Distention

Due to air swallowing. In lengthened CPAP use parallel use of a nasogastric tube may be considered although the risk still lies with an open cardiac sphincter.

3. corneal/ conjunctival irritation due to upper airway leaks.

4.Pneumothorax in at risk patients (e.g. trauma).

Ref; Intensive Care Foundation, 2015

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