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Bridging the gap in neonatal resuscitation in Zambia
Neonatal resuscitation has been poorly instituted in many parts of Africa and most neonatal resuscitation algorithms are adapted from environments with abundant resources. Helping Babies Breathe (HBB) is an algorithm designed for resource-limited situations and most other algorithms are designed for...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9760668/ https://www.ncbi.nlm.nih.gov/pubmed/36545665 http://dx.doi.org/10.3389/fped.2022.1038231 |
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author | Mutesu-Kapembwa, Kunda Lakhwani, Jyoti Benkele, Rodgers Gift Machona, Sylvia Shamalavu, Mwila Sekeseke Chintende, Jean Musonda Chisela, Susan Mwila Kapoma, Sharon Mwanza, Jackson Chelu, Wisdom Mwendafilumba, Martha Kapembwa, Kenneth Gaertner, Vincent D. |
author_facet | Mutesu-Kapembwa, Kunda Lakhwani, Jyoti Benkele, Rodgers Gift Machona, Sylvia Shamalavu, Mwila Sekeseke Chintende, Jean Musonda Chisela, Susan Mwila Kapoma, Sharon Mwanza, Jackson Chelu, Wisdom Mwendafilumba, Martha Kapembwa, Kenneth Gaertner, Vincent D. |
author_sort | Mutesu-Kapembwa, Kunda |
collection | PubMed |
description | Neonatal resuscitation has been poorly instituted in many parts of Africa and most neonatal resuscitation algorithms are adapted from environments with abundant resources. Helping Babies Breathe (HBB) is an algorithm designed for resource-limited situations and most other algorithms are designed for resource-rich countries. However, there are neonatal referral centers in resource-limited countries who may provide more advanced resuscitation. Thus, we developed a neonatal resuscitation algorithm for a resource-limited country (Zambia) which considers more advanced interventions in situations where they can be provided. The algorithm described in this paper is based on the Newborn Life Support algorithm from the UK as well as the HBB algorithm and accounts for all situations in a resource-limited country. Most importantly, it focuses on non-invasive ventilation but includes advice on more advanced resuscitation including intravenous access, fluid management, chest compressions and adrenaline for resuscitation. Although intubation skills are included in neonatal training workshops, it is not the main focus of the algorithm as respiratory support equipment is scarce or lacking in most health facilities in Zambia. A home-grown neonatal resuscitation algorithm for a resource-limited country such as Zambia is likely to bridge the gap between limited situations requiring only bag and mask ventilation and better equipped institutions where more advanced resuscitation is possible. This algorithm will be rolled out in all training institutions and delivery facilities across Zambia over the next months. |
format | Online Article Text |
id | pubmed-9760668 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-97606682022-12-20 Bridging the gap in neonatal resuscitation in Zambia Mutesu-Kapembwa, Kunda Lakhwani, Jyoti Benkele, Rodgers Gift Machona, Sylvia Shamalavu, Mwila Sekeseke Chintende, Jean Musonda Chisela, Susan Mwila Kapoma, Sharon Mwanza, Jackson Chelu, Wisdom Mwendafilumba, Martha Kapembwa, Kenneth Gaertner, Vincent D. Front Pediatr Pediatrics Neonatal resuscitation has been poorly instituted in many parts of Africa and most neonatal resuscitation algorithms are adapted from environments with abundant resources. Helping Babies Breathe (HBB) is an algorithm designed for resource-limited situations and most other algorithms are designed for resource-rich countries. However, there are neonatal referral centers in resource-limited countries who may provide more advanced resuscitation. Thus, we developed a neonatal resuscitation algorithm for a resource-limited country (Zambia) which considers more advanced interventions in situations where they can be provided. The algorithm described in this paper is based on the Newborn Life Support algorithm from the UK as well as the HBB algorithm and accounts for all situations in a resource-limited country. Most importantly, it focuses on non-invasive ventilation but includes advice on more advanced resuscitation including intravenous access, fluid management, chest compressions and adrenaline for resuscitation. Although intubation skills are included in neonatal training workshops, it is not the main focus of the algorithm as respiratory support equipment is scarce or lacking in most health facilities in Zambia. A home-grown neonatal resuscitation algorithm for a resource-limited country such as Zambia is likely to bridge the gap between limited situations requiring only bag and mask ventilation and better equipped institutions where more advanced resuscitation is possible. This algorithm will be rolled out in all training institutions and delivery facilities across Zambia over the next months. Frontiers Media S.A. 2022-12-05 /pmc/articles/PMC9760668/ /pubmed/36545665 http://dx.doi.org/10.3389/fped.2022.1038231 Text en © 2022 Mutesu-Kapembwa, Lakhwani, Benkele, Machona, Shamalavu, Chintende, Chisela, Kapoma, Mwanza, Chelu, Mwendafilumba, Kapembwa and Gaertner. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Pediatrics Mutesu-Kapembwa, Kunda Lakhwani, Jyoti Benkele, Rodgers Gift Machona, Sylvia Shamalavu, Mwila Sekeseke Chintende, Jean Musonda Chisela, Susan Mwila Kapoma, Sharon Mwanza, Jackson Chelu, Wisdom Mwendafilumba, Martha Kapembwa, Kenneth Gaertner, Vincent D. Bridging the gap in neonatal resuscitation in Zambia |
title | Bridging the gap in neonatal resuscitation in Zambia |
title_full | Bridging the gap in neonatal resuscitation in Zambia |
title_fullStr | Bridging the gap in neonatal resuscitation in Zambia |
title_full_unstemmed | Bridging the gap in neonatal resuscitation in Zambia |
title_short | Bridging the gap in neonatal resuscitation in Zambia |
title_sort | bridging the gap in neonatal resuscitation in zambia |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9760668/ https://www.ncbi.nlm.nih.gov/pubmed/36545665 http://dx.doi.org/10.3389/fped.2022.1038231 |
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