One Solution for Infants

The F&P 850 System delivers heated, humidified support across the infant respiratory care continuum.

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Resuscitation

Invasive

CPAP

Optiflow NHF

Resuscitation

Newborn resuscitation aims to establish effective spontaneous breathing or assist ventilation of the lungs within the first few minutes of life. The F&P Neopuff™ T-piece Resuscitator can be used with the F&P 850 System to deliver this therapy.

T-piece resuscitation has been proven to:

help protect the lungs from injury by working to provide controlled and consistent PIP^1-3
establish and maintain functional residual capacity (FRC)⁴
promote normothermia when using heated and humidified T-piece resuscitation.⁵

Download resuscitation setup overview

Product codes

Infant resuscitation circuits – humidified

Product Code	Description	Number in Box
900RD110	Single use humidified T-piece circuit	10

Invasive ventilation

Invasive ventilation is a mode of respiratory support that replaces spontaneous breathing in neonates and infants with an artificial airway such as an endotracheal tube.

Delivering heated and humidified gas during invasive respiratory support has several key benefits.

Assists the natural defence mechanisms in the airway, which can be interrupted by the presence of an endotracheal tube.⁶
Promotes conservation of energy for growth and development.^7,8
Supports patient comfort and therapy tolerance.^9,10

Download invasive ventilation setup overview

Product codes

Invasive ventilation circuits – F&P Evaqua 2

Product Code	Description	Number in Box
RT265	Dual heated infant circuit kit with Evaqua 2™ technology and MR290 Auto-fill Chamber (flow > 4 L/min)	10
RT266	Dual heated infant circuit kit with Evaqua 2 technology and MR290 Auto-fill Chamber (flow 0.3-4 L/min)	10
RT267	Dual heated infant circuit kit with Evaqua 2 technology and MR290 Auto-fill Chamber for SLE2000 series ventilators	10
RT268	Dual heated infant circuit kit with Evaqua 2 technology and MR290 Auto-fill Chamber for SLE5000 series ventilators	10
RT269	Dual heated infant circuit kit with Evaqua 2 technology and MR290 Auto-fill Chamber for SLE6000 series ventilators	10

Invasive ventilation circuits – conventional

Product Code	Description	Number in Box
RT225	Dual limb infant breathing circuit (excl. chamber) with expiratory water-trap and MR290 Auto-fill Chamber (flow > 4 L/min)	10
RT226	Dual limb infant breathing circuit (excl. chamber) with expiratory water-trap and MR290 Auto-fill Chamber (flow 0.3 - 4 L/min)	10
RT227	Dual limb infant breathing circuit (excl. chamber) with expiratory water-trap and MR290 Auto-fill Chamber for SLE2000 series ventilators	10
RT228	Dual limb infant breathing circuit (excl. chamber) with expiratory water-trap and MR290 Auto-fill Chamber for SLE500 series ventilators	10

Continuous positive airway pressure

Continuous positive airway pressure (CPAP) is a mode of noninvasive respiratory support that provides a continuous distending pressure throughout the respiratory cycle to spontaneously breathing patients.^11,12

There are several key benefits of CPAP therapy for infants.

Maintains functional residual capacity.^11,13
Reduces the work of breathing.^13,14,15
Decreases the need for mechanical ventilation.^16,17

Download CPAP setup overview

Product codes

CPAP circuits

Product Code	Product Description	Number in Box
BC151-10	Infant bubble CPAP system including inspiratory heated breathing circuit with auto-fill chamber, pressure relief manifold & bubble CPAP generator (connects to T-bar interface)	10
BC161-10	Infant bubble CPAP system including inspiratory heated breathing circuit with auto-fill chamber, pressure relief manifold & bubble CPAP generator (connects to F&P interface)	10
RT265	Dual heated infant circuit kit with Evaqua 2 technology and auto-fill chamber (flow > 4 L/min)	10

Optiflow Junior nasal high flow

Nasal high flow (NHF) is a mode of noninvasive respiratory support that delivers high flows of blended air and oxygen through an unsealed nasal interface.¹⁸

NHF therapy for infants provides the following benefits.

Reduces anatomical dead space.¹⁹
Dynamic positive airway pressure.^20,21,22
Improves patient comfort.^23,24

Download Optiflow Jr setup overview

Product codes

Infant NHF circuits

Product Code	Description	Number in Box
RT329	Single limb infant breathing circuit kit with pressure relief valve	10
RT330	Optiflow Junior breathing circuit kit	10
RT331	Optiflow Junior ventilator circuit kit	10

See all F&P 850 System infant circuits and accessories.

Other Optiflow platforms

Optiflow™ nasal high flow can also be delivered with the F&P 950™ System and the Airvo™ 2 high flow system.

F&P 950 System

A next generation, premium performance heated humidification system that's easy to set up and use.

F&P Airvo™ 2 providing respiratory support to a patient in a hospital environment

Airvo 2 nasal high flow system

A humidification system and flow source designed to deliver Optiflow nasal high flow therapy.

Björklund, L. J. et al. Manual ventilation with a few large breaths at birth compromises the therapeutic effect of subsequent surfactant replacement in immature lambs. Pediatr. Res. 42, 348 (1997). View abstract here.
Wada, K., Jobe, A. H. & Ikegami, M. Tidal volume effects on surfactant treatment responses with the initiation of ventilation in preterm lambs. J. Appl. Physiol. 83, 1054–1061 (1997). View abstract here.
Hillman, N. H. et al. Brief, large tidal volume ventilation initiates lung injury and a systemic response in fetal sheep. Am. J. Respir. Crit. Care Med. 176, 575–581 (2007). View abstract here.
Boon, A.W., Milner, A.D., Hopkin, I.E. Lung expansion, tidal exchange and formation of the functional residual capacity during resuscitation of asphyxiated neonates. J Pediatr. 95, 1031–1036 (1979). View abstract here.
Meyer, M. P., Owen, L. S. & te Pas, A. B. Use of heated humidified gases for early stabilization of preterm infants: a meta-analysis. Front. Pediatr. 6, 319 (2018). View abstract here.
Williams, R. B., Rankin, N., Smith, T., Galler, D. & Seakins, P. Relationship between the humidity and temperature of inspired gas and the function of airway mucosa. Crit. Care Med. 24, 1920-1929 (1996). View abstract here.
World Health Organization & Maternal and Newborn Health/Safe Motherhood. Thermal control of the newborn: a practical guide (1993). View abstract here.
Pollett, H. F. & Reid, W. D. Prevention of obstruction of nasopharyngeal CPAP tubes by adequate humidification of inspired gases. Can. Anaesth. Soc. J. 24, 615-617 (1977). View abstract here.
Branson, R. & Gentile, M. Is humidification always necessary during noninvasive ventilation in the hospital? Respir. Care 55, 209-216 (2010). View abstract here.
Wiest, G. H. et al. A heated humidifier reduces upper airway dryness during continuous positive airway pressure therapy. Respir. Med. 93, 21–26 (1999). View abstract here.
Gupta, S. & Donn, S. M. Seminars in Fetal and Neonatal Medicine Continuous positive airway pressure: Physiology and comparison of devices. Semin. Fetal Neonatal Med. 21, 204–211 (2016). View abstract here.
Courtney, S. E. & Barrington, K. J. Continuous positive airway pressure and noninvasive ventilation. Clin. Perinatol. 34, 73–92, vi (2007). View abstract here.
Magnenant, E. et al. Dynamic behavior of respiratory system during nasal continuous positive airway pressure in spontaneously breathing premature newborn infants. Pediatr. Pulmonol. 37, 485–491 (2004). View abstract here.
Diblasi, R. M. Nasal continuous positive airway pressure (CPAP) for the respiratory care of the newborn infant. Respir. Care 54, 1209–1235 (2009). View abstract here.
Higgins, R. D., Richter, S. E. & Davis, J. M. Nasal continuous positive airway pressure facilitates extubation of very low birth weight neonates. Pediatrics 88, 999–1003 (1991). View abstract here.
Finer, N. N. et al. Early CPAP versus surfactant in extremely preterm infants. N. Engl. J. Med. 362, 1970–1979 (2010). View abstract here.
Tooley, J. & Dyke, M. Randomized study of nasal continuous positive airway pressure in the preterm infant with respiratory distress syndrome. Acta Paediatr. 92, 1170–1174 (2003). View abstract here.
Franklin, D. et al. A randomized trial of high-flow oxygen therapy in infants with bronchiolitis. N. Engl. J. Med. 378, 1121–1131 (2018). View abstract here.
Dysart, K., Miller, T. L., Wolfson, M. R., & Shaffer, T. H. Research in high-flow therapy: mechanisms of action. Respir. Med. 103, 1400–5 (2009). View abstract here.
Mascoll-Robertson, K. K., Viscardi, R. M., & Woo, H. C. The objective use of pulse oximetry to predict respiratory support transition in preterm infants: an observational pilot study. Respir. Care 61, 416–422 (2016). View abstract here.
Lee, M. & Nagler, J. High-flow nasal cannula therapy beyond the perinatal period. Curr. Opin. Pediatr. 29, 291–296 (2017). View abstract here.
Wilkinson, D., Andersen, C., O’Donnell, C. P. F., De Paoli, A. G., & Manley, B. J. High-flow nasal cannula for respiratory support in preterm infants. Cochrane Database Syst. Rev. 2, CD006405 (2016). View abstract here.
Collins, C. L., Barfield, C., Horne, R. S. C., & Davis, P. G. A comparison of nasal trauma in preterm infants extubated to either heated humidified high-flow nasal cannulae or nasal continuous positive airway pressure. Eur. J. Pediatr. 173, 181–186 (2014). View abstract here.
Roberts, C. et al. Nasal high-flow therapy for primary respiratory support in preterm infants. N. Engl. J. Med. 375, 1142–51 (2016). View abstract here.

View references

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