The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.
Introduction of bubble CPAP in a teaching hospital in Malawi
Abstract
BACKGROUND: Continuous positive airway pressure (CPAP) is relatively inexpensive and can be easily taught; it therefore has the potential to be the optimal respiratory support device for neonates in developing countries. 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.
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“Our findings on shortage of neonatal staff are in line with previous research on bubble CPAP in sub-Saharan Africa where understaffed neonatal units and high turnover of nurses and doctors limited capacity for care [9,24,25,33,34].”
From Barriers and enablers of implementing bubble Continuous Positive Airway Pressure (CPAP): Perspectives of health professionals in Malawi (2020) · cites this paper as [33]
Citations
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Kawaza, K., Machen, H. E., Brown, J., Mwanza, Z., Iniguez, S., Gest, A., Smith, E. O., Oden, M., Richards-Kortum, R. R., & Molyneux, E. (2014) · PLoS ONE · doi:10.1371/journal.pone.0086327 · Cited by 149
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Efficacy and safety of CPAP in low-and middle-income countries
Thukral, A., Sankar, M. J., Chandrasekaran, A., Agarwal, R., & Paul, V. K. (2016) · Journal of Perinatology · doi:10.1038/jp.2016.29 · Cited by 114
Implementation of Bubble CPAP in a Rural Ugandan Neonatal ICU
McAdams, R. M., Hedstrom, A. B., DiBlasi, R. M., Mant, J. E., Nyonyintono, J., Otai, C. D., Lester, D. A., & Batra, M. (2015) · Respiratory Care · doi:10.4187/respcare.03438 · Cited by 74
Brown, J., Machen, H., Kawaza, K., Mwanza, Z., Iniguez, S., Lang, H., Gest, A., Kennedy, N., Miros, R., Richards-Kortum, R., et al. (2013) · PLoS ONE · doi:10.1371/journal.pone.0053622 · Cited by 72
Metadata
- Authors
- Van Den Heuvel, M., Blencowe, H., Mittermayer, K., Rylance, S., Couperus, A., Heikens, G. T., & Bandsma, R. H. J.
- Affiliations
- London School of Hygiene & Tropical Medicine (GB)
- Queen Elizabeth Central Hospital (MW)
- University Medical Center Groningen (NL)
- Venue
- Annals of Tropical Paediatrics
- Publisher
- Informa UK Limited
- Published
- 2011-02
- Volume
- 31
- Issue
- 1
- Pages
- 59-65
- ISSN
- 0272-4936 (ISSN-L)
- 1465-3281
- OpenAlex
- W2125899188
- Cited by
- 52
- References
- 11
- Citations by year
- 2025: 3 · 2023: 2 · 2022: 5 · 2021: 2 · 2020: 9 · 2019: 1 · 2018: 4 · 2017: 3 · 2016: 6 · 2015: 4 · 2014: 6 · 2013: 5 · 2012: 2
- FWCI
- 3.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Tropical Paediatrics (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Neonatal Respiratory Health Research
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Keywords
- bubble CPAP, continuous positive airway pressure, neonatal respiratory support, preterm infants, neonatal apnea, resource-limited settings, nurse training, neonatal survival, Malawi
- MeSH terms
- Education, Nursing, Humans, Infant, Newborn, Malawi, Nurses, Respiratory Distress Syndrome, Newborn, Continuous Positive Airway Pressure
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