Effectiveness of flow inflating device in providing Continuous Positive Airway Pressure for critically ill children in limited-resource settings: A prospective observational study
| Autor: | G Fatima Shirly Anitha, Lakshmi Velmurugan, Vinoth Selvaraj, Shanthi Sangareddi, Krishnamurthy Nedunchelian |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Bain circuit Critical Care and Intensive Care Medicine law.invention 03 medical and health sciences 0302 clinical medicine law 030225 pediatrics Positive airway pressure Epidemiology medicine Intubation Continuous positive airway pressure Intensive care medicine Continuous Positive Airway Pressure business.industry Jackson-Rees circuit 030208 emergency & critical care medicine medicine.disease Intensive care unit nervous system diseases respiratory tract diseases Bronchiolitis Ventilation (architecture) Observational study business Research Article |
| Zdroj: | Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine |
| ISSN: | 1998-359X 0972-5229 |
| Popis: | Background and Aims: Noninvasive ventilation (NIV) is an emerging popular concept, which includes bi-level positive airway pressure or continuous positive airway pressure (CPAP). In settings with scarce resources for NIV machines, CPAP can be provided through various indigenous means and one such mode is flow inflating device - Jackson-Rees circuit (JR)/Bain circuit. The study analyses the epidemiology, various clinical indications, predictors of CPAP failure, and stresses the usefulness of flow inflating device as an indigenous way of providing CPAP. Methods: A prospective observational study was undertaken in the critical care unit of a Government Tertiary Care Hospital, from November 2013 to September 2014. All children who required CPAP in the age group 1 month to 12 years of both sexes were included in this study. They were started on indigenous CPAP through flow inflating device on clinical grounds based on the pediatric assessment triangle, and the duration and outcome were analyzed. Results: This study population included 214 children. CPAP through flow inflating device was successful in 89.7% of cases, of which bronchiolitis accounted for 98.3%. A prolonged duration of CPAP support of >96 h was required in pneumonia. CPAP failure was noted in 10.3% of cases, the major risk factors being children |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|