Impact of the systematic introduction of low-cost bubble nasal CPAP in a NICU of a developing country: A prospective pre- and post-intervention study

Rossano Rezzonico, Letizia M. Caccamo, Valeria Manfredini, Massimo Cartabia, Nieves Sanchez, Zoraida Paredes, Patrizia Froesch, Franco Cavalli, Maurizio Bonati

Research output: Contribution to journalArticle

Abstract

Background: The use of Nasal Continuous Positive Airway Pressure Ventilation (NCPAP) has begun to increase and is progressively replacing conventional mechanical ventilation (MV), becoming the cornerstone treatment for newborn respiratory distress syndrome (RDS). Howerver, NCPAP use in Lower-Middle Income Countries (LMICs) is poor. Moreover, bubble NCPAP (bNCPAP), for efficacy, cost effectiveness, and ease of use, should be the primary assistance technique employed in newborns with RDS. Methods: Design: Prospective pre-intervention and post-intervention study. Results: Significant differences were found in the rate of intubation (72 vs 39%; p <0.0001) and the proportion of patients treated exclusively with bNCPAP (27% vs 61%; p

Original languageEnglish
Article number26
Pages (from-to)1-9
Number of pages9
JournalBMC Pediatrics
Volume15
Issue number1
DOIs
Publication statusPublished - Mar 25 2015

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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