OBJECTIVE: To describe the outcomes of infants and young children with respiratory distress when treated with a novel, low-cost, stand-alone bubble Continuous Positive Airway Pressure (bCPAP) system in a resource-limited setting. METHODS: A non-randomized, convenience sample study in a pediatric unit in Blantyre, Malawi, 2013. Patients weighing ≤10 kg with respiratory distress were eligible. We compared outcomes for patients with bronchiolitis, pneumonia and Pneumocystis jiroveci pneumonia (PJP) after treatment with bCPAP. RESULTS: Seventy percent of patients treated with bCPAP survived. Outcomes were best for patients with bronchiolitis and worst for those with PJP. Most survivors (80%) showed improvement within 24 h. All treating physicians found bCPAP useful, leading to a change in practice. CONCLUSIONS: Bubble CPAP was most beneficial to patients with bronchiolitis. Children, who were going to get well, tended to get well quickly. Physicians believed the bCPAP system provided a higher level of care than nasal oxygen.
OBJECTIVE: To describe the outcomes of infants and young children with respiratory distress when treated with a novel, low-cost, stand-alone bubble Continuous Positive Airway Pressure (bCPAP) system in a resource-limited setting. METHODS: A non-randomized, convenience sample study in a pediatric unit in Blantyre, Malawi, 2013. Patients weighing ≤10 kg with respiratory distress were eligible. We compared outcomes for patients with bronchiolitis, pneumonia and Pneumocystis jiroveci pneumonia (PJP) after treatment with bCPAP. RESULTS: Seventy percent of patients treated with bCPAP survived. Outcomes were best for patients with bronchiolitis and worst for those with PJP. Most survivors (80%) showed improvement within 24 h. All treating physicians found bCPAP useful, leading to a change in practice. CONCLUSIONS: Bubble CPAP was most beneficial to patients with bronchiolitis. Children, who were going to get well, tended to get well quickly. Physicians believed the bCPAP system provided a higher level of care than nasal oxygen.
Authors: H J Zar; D P Moore; S Andronikou; A C Argent; T Avenant; C Cohen; R J Green; G Itzikowitz; P Jeena; R Masekela; M P Nicol; A Pillay; G Reubenson; S A Madhi Journal: Afr J Thorac Crit Care Med Date: 2020-10-13
Authors: Amélie O von Saint André-von Arnim; Shelina M Jamal; Grace C John-Stewart; Ndidiamaka L Musa; Joan Roberts; Larissa I Stanberry; Christopher R A Howard Journal: Healthcare (Basel) Date: 2017-07-21
Authors: Kristen L Sessions; Laura Ruegsegger; Tisungane Mvalo; Davie Kondowe; Mercy Tsidya; Mina C Hosseinipour; Norman Lufesi; Michelle Eckerle; Andrew Gerald Smith; Eric D McCollum Journal: BMJ Open Date: 2020-05-12 Impact factor: 2.692
Authors: Ashley R Bjorklund; Beatrice Odongkara Mpora; Marie E Steiner; Gwenyth Fischer; Cynthia S Davey; Tina M Slusher Journal: Paediatr Int Child Health Date: 2018-06-18 Impact factor: 1.990
Authors: Gabriela Ss Chaves; Diana A Freitas; Thayla A Santino; Patricia Angelica Ms Nogueira; Guilherme Af Fregonezi; Karla Mpp Mendonça Journal: Cochrane Database Syst Rev Date: 2019-01-02