Objective To analyze the application value of early continuous positive airway pressure(CPAP)in the emergency treatment of pediatric severe pneumonia.Methods 80 children with severe pneumonia and res-piratory failure admitted to Guizhou Provincial People's Hospital from October 2022 to February 2024,are selected and dividedinto the observation group and a control group using a random number table method,with 40 cases in each group.The observation group received CPAP,while the control group received oxygen inhalation through a nasal cannula.The symptom relief time,blood gas related indicators at admission and after treatment,and incidence of complications were compared between the two groups of children.Results The time required for disappear-ance of lung rales,disappearance of dyspnea,and recovery of heart rate in the observation group were significant-ly shorter than those in the control group(P values<0.001).At admission,there were no significant differences in PaO2,PaCO2,SaO2,and pH levels between the two study groups(P values>0.05);After treatment,both groups showed improvement in the above indicators,and the observation group had significantly higher levels of PaO2,SaO2,and pH than those of the control group,while the PaCO2 level was significantly lower in the observation group compared to the control group(P values<0.05).The total incidence of complications in the control group was 27.5%,significantly higher than that(7.50%)in the observation group(P=0.019).Conclusion The application of CPAP in the emergency treatment of children with severe pneumonia and respiratory failure not only shortens the time to symptom relief and promotes the improvement of blood gas-related indicators but also effectively inhibits disease progression and reduces the incidence of complications,making it an ideal intervention.