Bubble CPAP splitting: innovative strategy in resource-limited settings.

Archives of Disease in Childhood
Akanksha VermaAnita Singh

Abstract

Non-invasive respiratory support for neonates using bubble continuous positive airway pressure (bCPAP) delivery systems is now widespread owing to its safety, cost effectiveness and easy applicability. Many innovative solutions have been suggested to deal with the possible shortage in desperate situations like disasters, pandemics and resource-limited settings. Although splitting of invasive ventilation has been reported previously, no attempts to split non-invasive respiratory support have been reported. The primary objective was to test the feasibility of splitting the bCPAP assembly using a T-piece splitter in a simulation model. A pilot simulation-based study was done to split a single bCPAP assembly using a T-piece. Other materials consisted of a heated humidification system, an air oxygen blender, corrugated inspiratory and expiratory tubing, nasal interfaces and two intercostal chest tube drainage bags. Two pressure manometers were used simultaneously to measure delivered pressures at different levels of set bCPAPs at the expiratory limb of nasal interfaces. Pressures measured at the expiratory end of two nasal interfaces were 5.1 and 5.2 cm H2O, respectively, at a flow of 6 L/min and a water level of 5 cm H2O in both ch...Continue Reading

References

Aug 4, 2006·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Greg Neyman, Charlene Babcock Irvin
Oct 19, 2011·Respiratory Care·Richard D BransonJay A Johannigman
Aug 28, 2015·The Lancet Global Health·Joshua P VogelRajiv Bahl
Feb 13, 2020·Archives of Disease in Childhood. Fetal and Neonatal Edition·Sonja BaldursdottirThomas Drevhammar

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