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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...

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Detalles Bibliográficos
Autores principales: Dewez, Juan Emmanuel, van den Broek, Nynke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2016
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.
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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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