What device should be used to provide CPAP to a spontaneously breathing baby?

The T-piece resuscitator is specifically designed for delivering continuous positive airway pressure (CPAP) to spontaneously breathing infants. It is a vital tool in situations where a newborn requires respiratory support without the need for invasive measures like intubation. This device enables healthcare providers to supply CPAP effectively while allowing the baby to initiate breaths on their own.

The functionality of the T-piece resuscitator is particularly advantageous in neonatal care because it ensures a steady flow of pressurized air or oxygen, helping to keep the alveoli open and improving oxygenation without obstructing the natural breathing pattern of the baby. This allows healthcare professionals to administer CPAP in a safe and controlled manner, adapting to the infant's needs.

Other options, while useful in different contexts, do not serve this particular purpose as effectively. For example, a bag-mask device is typically used for positive pressure ventilation but requires the user to compress the bag, which can be a challenge with a spontaneously breathing patient and may not provide consistent CPAP. An endotracheal tube is an invasive intervention reserved for cases where the airway needs to be controlled or protected, and a CPAP mask, while potentially suitable for some applications, does not have the same adaptability and effectiveness as a T-piece