Bubble Nasal Continuous Positive Airway Pressure (bNCPAP): An Effective Low-Cost Intervention for Resource-Constrained Settings
Preterm birth complications are responsible for almost one-third of the global neonatal mortality burden, and respiratory distress syndrome remains the single most common cause of these preventable deaths. Since its inception, almost half a century ago, nasal continuous positive airway pressure (NCP...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | International Journal of Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2020/8871980 |
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| author | Walufu Ivan Egesa William Mugowa Waibi |
| author_facet | Walufu Ivan Egesa William Mugowa Waibi |
| author_sort | Walufu Ivan Egesa |
| collection | DOAJ |
| description | Preterm birth complications are responsible for almost one-third of the global neonatal mortality burden, and respiratory distress syndrome remains the single most common cause of these preventable deaths. Since its inception, almost half a century ago, nasal continuous positive airway pressure (NCPAP) has evolved to become the primary modality for neonatal respiratory care in both the developed and developing world. Although evidence has demonstrated the effectiveness of low-cost bubble NCPAP in reducing newborn mortality, its widespread use is yet to be seen in resource-constrained settings. Moreover, many tertiary hospitals in developing countries still utilise an inexpensive locally assembled bNCPAP system of unknown efficacy and safety. This review provides a brief overview of the history, physiological benefits, indications, contraindications, and complications of bNCPAP. Evidence regarding the effectiveness of low-cost bNCPAP in the neonatal intensive care unit is also summarised. The article further details a locally assembled bNCPAP system used in resource-constrained settings and highlights the care package for neonates receiving bNCPAP, failure criteria, and strategies for weaning. |
| format | Article |
| id | doaj-art-2efe49d371364389bcd2996a3696e8ca |
| institution | Kabale University |
| issn | 1687-9740 1687-9759 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Pediatrics |
| spelling | doaj-art-2efe49d371364389bcd2996a3696e8ca2025-02-03T01:04:07ZengWileyInternational Journal of Pediatrics1687-97401687-97592020-01-01202010.1155/2020/88719808871980Bubble Nasal Continuous Positive Airway Pressure (bNCPAP): An Effective Low-Cost Intervention for Resource-Constrained SettingsWalufu Ivan Egesa0William Mugowa Waibi1Department of Paediatrics and Child Health, Faculty of Clinical Medicine and Dentistry, Kampala International University, P.O. Box 20000 Kampala, UgandaDepartment of Paediatrics and Child Health, Faculty of Clinical Medicine and Dentistry, Kampala International University, P.O. Box 20000 Kampala, UgandaPreterm birth complications are responsible for almost one-third of the global neonatal mortality burden, and respiratory distress syndrome remains the single most common cause of these preventable deaths. Since its inception, almost half a century ago, nasal continuous positive airway pressure (NCPAP) has evolved to become the primary modality for neonatal respiratory care in both the developed and developing world. Although evidence has demonstrated the effectiveness of low-cost bubble NCPAP in reducing newborn mortality, its widespread use is yet to be seen in resource-constrained settings. Moreover, many tertiary hospitals in developing countries still utilise an inexpensive locally assembled bNCPAP system of unknown efficacy and safety. This review provides a brief overview of the history, physiological benefits, indications, contraindications, and complications of bNCPAP. Evidence regarding the effectiveness of low-cost bNCPAP in the neonatal intensive care unit is also summarised. The article further details a locally assembled bNCPAP system used in resource-constrained settings and highlights the care package for neonates receiving bNCPAP, failure criteria, and strategies for weaning.http://dx.doi.org/10.1155/2020/8871980 |
| spellingShingle | Walufu Ivan Egesa William Mugowa Waibi Bubble Nasal Continuous Positive Airway Pressure (bNCPAP): An Effective Low-Cost Intervention for Resource-Constrained Settings International Journal of Pediatrics |
| title | Bubble Nasal Continuous Positive Airway Pressure (bNCPAP): An Effective Low-Cost Intervention for Resource-Constrained Settings |
| title_full | Bubble Nasal Continuous Positive Airway Pressure (bNCPAP): An Effective Low-Cost Intervention for Resource-Constrained Settings |
| title_fullStr | Bubble Nasal Continuous Positive Airway Pressure (bNCPAP): An Effective Low-Cost Intervention for Resource-Constrained Settings |
| title_full_unstemmed | Bubble Nasal Continuous Positive Airway Pressure (bNCPAP): An Effective Low-Cost Intervention for Resource-Constrained Settings |
| title_short | Bubble Nasal Continuous Positive Airway Pressure (bNCPAP): An Effective Low-Cost Intervention for Resource-Constrained Settings |
| title_sort | bubble nasal continuous positive airway pressure bncpap an effective low cost intervention for resource constrained settings |
| url | http://dx.doi.org/10.1155/2020/8871980 |
| work_keys_str_mv | AT walufuivanegesa bubblenasalcontinuouspositiveairwaypressurebncpapaneffectivelowcostinterventionforresourceconstrainedsettings AT williammugowawaibi bubblenasalcontinuouspositiveairwaypressurebncpapaneffectivelowcostinterventionforresourceconstrainedsettings |