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Continuous positive airway pressure (CPAP) to treat respiratory distress in newborns in low- and middle-income countries
Severe respiratory distress is a serious complication common to the three major causes of neonatal mortality and morbidity (prematurity, intra-partum-related hypoxia and infections). In low- and middle-income countries (LMICs), 20% of babies presenting with severe respiratory distress die. Continuou...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5152792/ https://www.ncbi.nlm.nih.gov/pubmed/26864235 http://dx.doi.org/10.1177/0049475516630210 |
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author | Dewez, Juan Emmanuel van den Broek, Nynke |
author_facet | Dewez, Juan Emmanuel van den Broek, Nynke |
author_sort | Dewez, Juan Emmanuel |
collection | PubMed |
description | Severe respiratory distress is a serious complication common to the three major causes of neonatal mortality and morbidity (prematurity, intra-partum-related hypoxia and infections). In low- and middle-income countries (LMICs), 20% of babies presenting with severe respiratory distress die. Continuous positive airway pressure (CPAP), is an effective intervention for respiratory distress in newborns and widely used in high-income countries. Following the development of simple, safe and relatively inexpensive CPAP devices, there is potential for large-scale implementation in the developing world. In this article, we describe existing CPAP systems and present a review of the current literature examining the effectiveness of CPAP compared to standard care (oxygen) in newborns with respiratory distress. We also discuss the evidence gap which needs to be addressed prior to its integration into health systems in LMICs. |
format | Online Article Text |
id | pubmed-5152792 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-51527922016-12-21 Continuous positive airway pressure (CPAP) to treat respiratory distress in newborns in low- and middle-income countries Dewez, Juan Emmanuel van den Broek, Nynke Trop Doct Articles Severe respiratory distress is a serious complication common to the three major causes of neonatal mortality and morbidity (prematurity, intra-partum-related hypoxia and infections). In low- and middle-income countries (LMICs), 20% of babies presenting with severe respiratory distress die. Continuous positive airway pressure (CPAP), is an effective intervention for respiratory distress in newborns and widely used in high-income countries. Following the development of simple, safe and relatively inexpensive CPAP devices, there is potential for large-scale implementation in the developing world. In this article, we describe existing CPAP systems and present a review of the current literature examining the effectiveness of CPAP compared to standard care (oxygen) in newborns with respiratory distress. We also discuss the evidence gap which needs to be addressed prior to its integration into health systems in LMICs. SAGE Publications 2016-02-09 2017-01 /pmc/articles/PMC5152792/ /pubmed/26864235 http://dx.doi.org/10.1177/0049475516630210 Text en © The Author(s) 2016 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Articles Dewez, Juan Emmanuel van den Broek, Nynke Continuous positive airway pressure (CPAP) to treat respiratory distress in newborns in low- and middle-income countries |
title | Continuous positive airway pressure (CPAP) to treat respiratory distress in newborns in low- and middle-income countries |
title_full | Continuous positive airway pressure (CPAP) to treat respiratory distress in newborns in low- and middle-income countries |
title_fullStr | Continuous positive airway pressure (CPAP) to treat respiratory distress in newborns in low- and middle-income countries |
title_full_unstemmed | Continuous positive airway pressure (CPAP) to treat respiratory distress in newborns in low- and middle-income countries |
title_short | Continuous positive airway pressure (CPAP) to treat respiratory distress in newborns in low- and middle-income countries |
title_sort | continuous positive airway pressure (cpap) to treat respiratory distress in newborns in low- and middle-income countries |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5152792/ https://www.ncbi.nlm.nih.gov/pubmed/26864235 http://dx.doi.org/10.1177/0049475516630210 |
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