Document Detail

Introduction of bubble CPAP in a teaching hospital in Malawi.
MedLine Citation:
PMID:  21262111     Owner:  NLM     Status:  In-Data-Review    
OBJECTIVE: The possibility of implementing bubble CPAP in a teaching hospital with a large neonatology unit but very limited resources was investigated.
METHODS: A CPAP system was developed consisting of a compressor, oxygen concentrator, water bottle to control the pressure and binasal prongs. Neonates with birthweights between 1 and 2·5 kg with persistent respiratory distress 4 hours after birth were eligible for bubble CPAP.
RESULTS: In the 7-week introduction period from 11 March until 27 April 2008, 11 neonates were treated with CPAP. Five of these neonates met the inclusion criteria and six neonates did not meet these criteria. Of the five neonates who received CPAP and met the inclusion criteria, three survived. The six infants who did not meet the inclusion criteria included three preterm infants with apnoea (all died), two with birthweights <1 kg (both died) and a firstborn twin (1.2 kg) who survived. No major complications of CPAP occurred. Bubble CPAP could be used independently by nurses after a short training period.
CONCLUSION: Successful long-term implementation of CPAP depends on the availability of sufficient trained nursing staff.
M Van Den Heuvel; H Blencowe; K Mittermayer; S Rylance; A Couperus; G T Heikens; R H J Bandsma
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of tropical paediatrics     Volume:  31     ISSN:  1465-3281     ISO Abbreviation:  Ann Trop Paediatr     Publication Date:  2011  
Date Detail:
Created Date:  2011-01-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8210625     Medline TA:  Ann Trop Paediatr     Country:  England    
Other Details:
Languages:  eng     Pagination:  59-65     Citation Subset:  IM    
Emma Children's Hospital, Amsterdam, The Netherlands.
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