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Reported Complications of Bubble Continuous Positive Airway Pressure Systems in Low-Resource Settings: An International Survey

Lower respiratory tract infections (LRTIs) are the leading cause of death in young children globally. Most of the global burden of mortality from LRTIs occurs in low-resource settings (LRSs), where obtaining and maintaining respiratory support devices such as commercial bubble continuous positive ai...

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Autores principales: Wu, Andrew Geli, Klein, Julia R., John, Stephen C., Slusher, Tina M., Fischer, Gwenyth A., Brearley, Ann M., Bjorklund, Ashley R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The American Society of Tropical Medicine and Hygiene 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10324012/
https://www.ncbi.nlm.nih.gov/pubmed/37188346
http://dx.doi.org/10.4269/ajtmh.23-0065
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author Wu, Andrew Geli
Klein, Julia R.
John, Stephen C.
Slusher, Tina M.
Fischer, Gwenyth A.
Brearley, Ann M.
Bjorklund, Ashley R.
author_facet Wu, Andrew Geli
Klein, Julia R.
John, Stephen C.
Slusher, Tina M.
Fischer, Gwenyth A.
Brearley, Ann M.
Bjorklund, Ashley R.
author_sort Wu, Andrew Geli
collection PubMed
description Lower respiratory tract infections (LRTIs) are the leading cause of death in young children globally. Most of the global burden of mortality from LRTIs occurs in low-resource settings (LRSs), where obtaining and maintaining respiratory support devices such as commercial bubble continuous positive airway pressure (bCPAP) can be prohibitive. Low-cost bCPAP devices exist, such as the homemade WHO-style bCPAP design, but the safety of this design has been called into question. Based on our team’s experience with homemade bCPAP, the side effects of the high pressures described in recent studies are not commonly encountered. Therefore, we sought feedback via an international survey about various complications including pneumothorax from practitioners in LRSs who use two forms of homemade bCPAP. In our qualitative survey, we did not find a convincing pattern in the recall of complications between commercial bCPAP and homemade bCPAP with narrow- or wide-bore expiratory limb in neonates or older children.
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spelling pubmed-103240122023-07-06 Reported Complications of Bubble Continuous Positive Airway Pressure Systems in Low-Resource Settings: An International Survey Wu, Andrew Geli Klein, Julia R. John, Stephen C. Slusher, Tina M. Fischer, Gwenyth A. Brearley, Ann M. Bjorklund, Ashley R. Am J Trop Med Hyg Short Report Lower respiratory tract infections (LRTIs) are the leading cause of death in young children globally. Most of the global burden of mortality from LRTIs occurs in low-resource settings (LRSs), where obtaining and maintaining respiratory support devices such as commercial bubble continuous positive airway pressure (bCPAP) can be prohibitive. Low-cost bCPAP devices exist, such as the homemade WHO-style bCPAP design, but the safety of this design has been called into question. Based on our team’s experience with homemade bCPAP, the side effects of the high pressures described in recent studies are not commonly encountered. Therefore, we sought feedback via an international survey about various complications including pneumothorax from practitioners in LRSs who use two forms of homemade bCPAP. In our qualitative survey, we did not find a convincing pattern in the recall of complications between commercial bCPAP and homemade bCPAP with narrow- or wide-bore expiratory limb in neonates or older children. The American Society of Tropical Medicine and Hygiene 2023-05-15 2023-07 /pmc/articles/PMC10324012/ /pubmed/37188346 http://dx.doi.org/10.4269/ajtmh.23-0065 Text en © The author(s) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution (CC-BY) License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Short Report
Wu, Andrew Geli
Klein, Julia R.
John, Stephen C.
Slusher, Tina M.
Fischer, Gwenyth A.
Brearley, Ann M.
Bjorklund, Ashley R.
Reported Complications of Bubble Continuous Positive Airway Pressure Systems in Low-Resource Settings: An International Survey
title Reported Complications of Bubble Continuous Positive Airway Pressure Systems in Low-Resource Settings: An International Survey
title_full Reported Complications of Bubble Continuous Positive Airway Pressure Systems in Low-Resource Settings: An International Survey
title_fullStr Reported Complications of Bubble Continuous Positive Airway Pressure Systems in Low-Resource Settings: An International Survey
title_full_unstemmed Reported Complications of Bubble Continuous Positive Airway Pressure Systems in Low-Resource Settings: An International Survey
title_short Reported Complications of Bubble Continuous Positive Airway Pressure Systems in Low-Resource Settings: An International Survey
title_sort reported complications of bubble continuous positive airway pressure systems in low-resource settings: an international survey
topic Short Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10324012/
https://www.ncbi.nlm.nih.gov/pubmed/37188346
http://dx.doi.org/10.4269/ajtmh.23-0065
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