neonatology critical-care
CPAP Initiation Criteria (Neonatal)
Identifies neonates requiring CPAP or respiratory support based on clinical and gestational criteria. Used in NICU and delivery suite.
Score interpretation
Minimal respiratory distress
→ Observation; feed support; repeat assessment in 1-2h; routine monitoring
Moderate respiratory distress — consider CPAP
→ Start nasal CPAP 5-6 cmH2O; FiO2 titration; continuous SpO2 monitoring; neonatology input
Significant distress or extreme prematurity
→ CPAP mandatory; consider early surfactant (InSurE or LISA technique); prepare for intubation if CPAP fails; NICU admission
Interpretation bands for the Neonatal CPAP Criteria. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Poractant Alfa (Porcine Surfactant) · Lung Surfactant (Respiratory Distress Syndrome — Neonatal)
- Doxapram hydrochloride · Respiratory stimulant
- Folinic Acid (Calcium Folinate / Leucovorin) · Antidote / Chemotherapy Support
- Enteral feeds · Nutritional support
- Docusate sodium · Stool softener (anionic surfactant)
- Folinic Acid (Calcium Folinate / Leucovorin) · Antidote / Chemotherapy Support
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.