Experiences with implementation of continuous positive airway pressure for neonates and infants in low-resource settings: A scoping review.

<h4>Background</h4>Continuous positive airway pressure (CPAP) is the gold standard of care in providing non-invasive positive pressure support to neonates in respiratory distress in high-resource settings. While safety has been demonstrated in low-resource settings, there is a lack of kn...

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Autores principales:	Sara Dada, Henry Ashworth, Alina Sobitschka, Vanitha Raguveer, Rupam Sharma, Rebecca L Hamilton, Thomas Burke
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/1beed96e28ab4aafb49f8757f83b2b5e
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spelling	oai:doaj.org-article:1beed96e28ab4aafb49f8757f83b2b5e2021-12-02T20:07:09ZExperiences with implementation of continuous positive airway pressure for neonates and infants in low-resource settings: A scoping review.1932-620310.1371/journal.pone.0252718https://doaj.org/article/1beed96e28ab4aafb49f8757f83b2b5e2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252718https://doaj.org/toc/1932-6203<h4>Background</h4>Continuous positive airway pressure (CPAP) is the gold standard of care in providing non-invasive positive pressure support to neonates in respiratory distress in high-resource settings. While safety has been demonstrated in low-resource settings, there is a lack of knowledge on the barriers and facilitators to proper implementation.<h4>Objective</h4>To identify and describe the barriers, facilitators, and priorities for future implementation of CPAP for neonates and infants in low-resource settings.<h4>Methods</h4>A systematic search (database inception to March 6, 2020) was performed on MEDLINE, Embase, Web of Science, CINAHL, Global Health, and the WHO Global Index Medicus using PRISMA-ScR guidelines. Original research articles pertaining to implementation of CPAP devices in low-resource settings, provider or parent perspectives and experiences with CPAP, cost-benefit analyses, and cost-effectiveness studies were included. Inductive content analysis was conducted.<h4>Findings</h4>1385 article were screened and 54 studies across 19 countries met inclusion criteria. Six major themes emerged: device attributes, patient experiences, parent experiences, provider experiences, barriers, and facilitators. Nasal trauma was the most commonly reported complication. Barriers included unreliable electricity and lack of bioengineering support. Facilitators included training, mentorship and empowerment of healthcare providers. Device design, supply chain infrastructure, and training models were imperative to the adoption and sustainability of CPAP.<h4>Conclusion</h4>Sustainable implementation of CPAP in low resource settings requires easy-to-use devices, ready access to consumables, and holistic, user-driven training. Further research is necessary on standardizing metrics, interventions that support optimal provider performance, and conditions needed for successful long-term health system integration.Sara DadaHenry AshworthAlina SobitschkaVanitha RaguveerRupam SharmaRebecca L HamiltonThomas BurkePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252718 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Sara Dada Henry Ashworth Alina Sobitschka Vanitha Raguveer Rupam Sharma Rebecca L Hamilton Thomas Burke Experiences with implementation of continuous positive airway pressure for neonates and infants in low-resource settings: A scoping review.
description	<h4>Background</h4>Continuous positive airway pressure (CPAP) is the gold standard of care in providing non-invasive positive pressure support to neonates in respiratory distress in high-resource settings. While safety has been demonstrated in low-resource settings, there is a lack of knowledge on the barriers and facilitators to proper implementation.<h4>Objective</h4>To identify and describe the barriers, facilitators, and priorities for future implementation of CPAP for neonates and infants in low-resource settings.<h4>Methods</h4>A systematic search (database inception to March 6, 2020) was performed on MEDLINE, Embase, Web of Science, CINAHL, Global Health, and the WHO Global Index Medicus using PRISMA-ScR guidelines. Original research articles pertaining to implementation of CPAP devices in low-resource settings, provider or parent perspectives and experiences with CPAP, cost-benefit analyses, and cost-effectiveness studies were included. Inductive content analysis was conducted.<h4>Findings</h4>1385 article were screened and 54 studies across 19 countries met inclusion criteria. Six major themes emerged: device attributes, patient experiences, parent experiences, provider experiences, barriers, and facilitators. Nasal trauma was the most commonly reported complication. Barriers included unreliable electricity and lack of bioengineering support. Facilitators included training, mentorship and empowerment of healthcare providers. Device design, supply chain infrastructure, and training models were imperative to the adoption and sustainability of CPAP.<h4>Conclusion</h4>Sustainable implementation of CPAP in low resource settings requires easy-to-use devices, ready access to consumables, and holistic, user-driven training. Further research is necessary on standardizing metrics, interventions that support optimal provider performance, and conditions needed for successful long-term health system integration.
format	article
author	Sara Dada Henry Ashworth Alina Sobitschka Vanitha Raguveer Rupam Sharma Rebecca L Hamilton Thomas Burke
author_facet	Sara Dada Henry Ashworth Alina Sobitschka Vanitha Raguveer Rupam Sharma Rebecca L Hamilton Thomas Burke
author_sort	Sara Dada
title	Experiences with implementation of continuous positive airway pressure for neonates and infants in low-resource settings: A scoping review.
title_short	Experiences with implementation of continuous positive airway pressure for neonates and infants in low-resource settings: A scoping review.
title_full	Experiences with implementation of continuous positive airway pressure for neonates and infants in low-resource settings: A scoping review.
title_fullStr	Experiences with implementation of continuous positive airway pressure for neonates and infants in low-resource settings: A scoping review.
title_full_unstemmed	Experiences with implementation of continuous positive airway pressure for neonates and infants in low-resource settings: A scoping review.
title_sort	experiences with implementation of continuous positive airway pressure for neonates and infants in low-resource settings: a scoping review.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/1beed96e28ab4aafb49f8757f83b2b5e
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Experiences with implementation of continuous positive airway pressure for neonates and infants in low-resource settings: A scoping review.

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