Neotech RAM Cannula Versus Conventional Binasal Prong Continuous Positive Airway Pressure (CPAP) to Treat Respiratory Distress in Low Birth Weight Neonates

Inclusion Criteria: * Low Birth Weight Infant * Currently on continuous positive aireway pressure of 5-7 cm water pressure * Receiving continuous positive airway pressure support for \> 24 hrs prior to enrollment * Fraction of inspired oxygen requirement of 23-50% Exclusion Criteria: * Fraction of inspired oxygen \> 50% * Congenital defects of head, pulmonary or cardiovascular systems * Chromosomal abnormalities/genetic syndromes * Invasive Surgical Procedure within 24 hrs prior to enrollment * Enrollment in separate clinical trial that has ongoing data collection