A homemade low-cost bubble continuous positive airway pressure (bCPAP) setup can be created using resources available at most secondary healthcare facilities in low- and middle-income countries (LMICs). This setup has the potential of saving millions of children's lives worldwide; however, treatment failure due to bCPAP setup insufficiencies and lack of educated staff remains a significant obstacle. Here, we report a first-hand experience on the use of an established low-cost bCPAP setup to be used in LMICs and how optimization of two parameters was critical to effectively treat a severe case of lower respiratory disease in a 6-month-old infant in Tanzania. We report this case to strengthen that reducing the resistance in the tube system and minimizing air leakage at the nasal interface are crucial for efficient delivery of the CPAP therapy.
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Feasibility and usability of a very low-cost bubble continuous positive airway pressure device including oxygen blenders in a Ugandan level two newborn unit.
PLOS Glob Public Health
March 2023
Department of Pediatrics and Global Health, University of Washington, Seattle, Washington, United States of America.
Background: Preterm birth and resulting respiratory failure is a leading cause of newborn death- the majority of which occur in resource-constrained settings and could be prevented with bubble continuous positive airway pressure (bCPAP). Commercialized devices are expensive, however, and sites commonly use improvised devices utilizing 100% oxygen which can cause blindness. To address this, PATH and a multidisciplinary team developed a very low-cost bCPAP device including fixed-ratio oxygen blenders.
View Article and Find Full Text PDFLow-Cost Bubble-CPAP Treatment of a Severe Case of Pneumonia in a Low- and Middle-Income Country: A Case Report on the Importance of Optimizing Bubble-CPAP Setup.
J Trop Pediatr
July 2021
Global Health Unit, Department of Paediatrics and Adolescent Medicine, Copenhagen University Hospital, 2100 Rigshospitalet, Denmark.
A homemade low-cost bubble continuous positive airway pressure (bCPAP) setup can be created using resources available at most secondary healthcare facilities in low- and middle-income countries (LMICs). This setup has the potential of saving millions of children's lives worldwide; however, treatment failure due to bCPAP setup insufficiencies and lack of educated staff remains a significant obstacle. Here, we report a first-hand experience on the use of an established low-cost bCPAP setup to be used in LMICs and how optimization of two parameters was critical to effectively treat a severe case of lower respiratory disease in a 6-month-old infant in Tanzania.
View Article and Find Full Text PDFThe BCPAP Score: Five Questions to Assess the Effectiveness of a Bubble CPAP Circuit.
J Trop Pediatr
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Department of Pediatrics, Bronson Methodist Hospital, Kalamazoo, MI 49007, USA.
Respiratory illnesses are a leading cause of infant mortality worldwide. Bubble CPAP is a simple and effective treatment for infants in respiratory distress. Across resource-limited settings, various bubble CPAP setups have been used with widely varying results.
View Article and Find Full Text PDFBubble CPAP and oxygen for child pneumonia care in Malawi: a CPAP IMPACT time motion study.
BMC Health Serv Res
July 2019
Johns Hopkins School of Medicine, Rubenstein Child Health Building, #3150, 200 North Wolfe Street, Baltimore, MD, 21287, USA.
Background: In some low-resource settings bubble continuous positive airway pressure (bCPAP) is increasingly used to treat children with pneumonia. However, the time required for healthcare workers (HCWs) to administer bCPAP is unknown and may have implementation implications. This study aims to compare HCW time spent administering bCPAP and low-flow nasal oxygen care at a district hospital in Malawi during CPAP IMPACT (Improving Mortality for Pneumonia in African Children Trial).
View Article and Find Full Text PDFUse of a modified bubble continuous positive airway pressure (bCPAP) device for children in respiratory distress in low- and middle-income countries: a safety study.
Paediatr Int Child Health
August 2019
e Center for Global Pediatrics , University of Minnesota, Minneapolis , MN , USA.
While bubble continuous positive airway pressure (bCPAP) is commonly used in low- and middle-income countries (LMIC) to support neonates with respiratory distress, there are limited non-invasive support options for non-neonatal children. : To demonstrate safety of a new device designed to support children during respiratory distress in LMIC. A paediatric bCPAP device was designed called SEAL-bCPAP (Simplified Ear-plug Adapted-bCPAP).
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