The goals of ventilatory management during the early stages of RDS are to maintain adequate oxygenation and ventilation, while minimising ventilator-induced lung injury (Rodriguez, 2003). Ventilation should be instigated sooner rather than later following repeated apnoeic episodes, poor blood gases, failure of CPAP, and increasing respiratory effort. In the last two decades technological advancement has provided several options in ventilation. However, most neonatal ICUs use positive pressure ventilators.