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Continuous positive airway pressure (CPAP) to treat respiratory distress in newborns in low- and middle-income countries

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Dewez, Juan and van den Broek, Nynke ORCID: https://orcid.org/0000-0001-8523-2684 (2016) 'Continuous positive airway pressure (CPAP) to treat respiratory distress in newborns in low- and middle-income countries'. Tropical Doctor, Vol 47, Issue 1, pp. 19-22.

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Abstract

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.

Item Type: Article
Subjects: WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WS Pediatrics > Diseases of Children and Adolescents > By System > WS 280 Respiratory system
WS Pediatrics > By Age Groups > WS 420 Newborn infants. Neonatology
Faculty: Department: Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI): https://doi.org/10.1177/0049475516630210
Depositing User: Jessica Jones
Date Deposited: 11 Mar 2016 11:25
Last Modified: 06 Feb 2018 13:12
URI: https://archive.lstmed.ac.uk/id/eprint/5753

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