Risk and benefits of Bubble Continuous Positive Airway Pressure for neonatal and childhood respiratory diseases in Low- and Middle-Income countries

Ekhaguere, Osayame A.; Mairami, Amsa; Kirpalani, Haresh

doi:10.1016/j.prrv.2018.04.004

Cited by 27 publications

(47 citation statements)

References 53 publications

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“…In situations where mechanical ventilation might not be available, bubble nasal CPAP may be used for newborns and children with severe hypoxemia, and may be a more readily available alternative in resource-limited settings (46).…”

Section: Remarkmentioning

confidence: 99%

Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19)

Alhazzani

Møller

Arabi

et al. 2020

Critical Care Medicine

1,666

2,066

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Background: The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the cause of a rapidly spreading illness, Coronavirus Disease 2019 (COVID-19), affecting thousands of people around the world. Urgent guidance for clinicians caring for the sickest of these patients is needed. Methods: We formed a panel of 36 experts from 12 countries. All panel members completed the World Health Organization conflict of interest disclosure form. The panel proposed 53 questions that are relevant to the management of COVID-19 in the ICU. We searched the literature for direct and indirect evidence on the management of COVID-19 in critically ill patients in the ICU. We identified relevant and recent systematic reviews on most questions relating to supportive care. We assessed the certainty in the evidence using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach, then generated recommendations based on the balance between benefit and harm, resource and cost implications, equity, and feasibility. Recommendations were either strong or weak, or in the form of best practice recommendations. Results: The Surviving Sepsis Campaign COVID-19 panel issued 54 statements, of which four are best practice statements, nine are strong recommendations, and 35 are weak recommendations. No recommendation was provided for six questions. The topics were: 1) infection control, 2) laboratory diagnosis and specimens, 3) hemodynamic support, 4) ventilatory support, and 5) COVID-19 therapy. Conclusion: The Surviving Sepsis Campaign COVID-19 panel issued several recommendations to help support healthcare workers caring for critically ill ICU patients with COVID-19. When available, we will provide new evidence in further releases of these guidelines.

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Section: Remarkmentioning

confidence: 99%

Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19)

Alhazzani

Møller

Arabi

et al. 2020

Critical Care Medicine

1,666

2,066

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“…A meta-analysis pooled a neonatal and the two paediatric studies above suggesting safety and overall favourable benefit with the use of bCPAP in LMIC. 9 In contrast to previous studies, the Malawi study (n=644) showed an increase in mortality (11% vs 17%) with the use of bCPAP, and the trial was stopped early. These findings represent a sentinel event and deserve to be examined thoroughly.…”

Section: Bubble Cpap In Resource-poor Settings: Friend or Foe?mentioning

confidence: 76%

Bubble CPAP in resource-poor settings: friend or foe?

Wilson

2019

The Lancet Respiratory Medicine

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“…In situations where mechanical ventilation might not be available, bubble nasal CPAP may be a more readily available alternative for newborns and children with severe hypoxemia. 41 …”

Section: Ardsmentioning

confidence: 99%

COVID-19 medical management including World Health Organization (WHO) suggested management strategies

McFee

2020

Disease-a-Month

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Risk and benefits of Bubble Continuous Positive Airway Pressure for neonatal and childhood respiratory diseases in Low- and Middle-Income countries

Cited by 27 publications

References 53 publications

Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19)

Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19)

Bubble CPAP in resource-poor settings: friend or foe?

COVID-19 medical management including World Health Organization (WHO) suggested management strategies

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