PEDIATRICS Vol. 55 No. 3 March 1975, pp. 446
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Drs. Kattwinkel, Fanaroff and Klaus Reply

John Kattwinkel M.D.1, Avroy A. Fanaroff M.D.1, and Marshall H. Klaus M.D.1

1 Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106

We appreciate Drs. Gresheim and Schreiner's comments and are pleased to hear that they also are having good results with nasal CPAP. We have recently corresponded with a large number of neonatal centers who have been using nasal CPAP. Several of them noted that with endotracheal CPAP they too were able to improve oxygenation in a few babies who had "failed" the nasal approach. It certainly seems worth a try if the infant is not apneic, thus requiring controlled mechanical ventilation.