Availability and use of continuous positive airway pressure (CPAP) for neonatal care in public health facilities in India: a cross-sectional cluster survey.
Juan Emmanuel DewezSushma NangiaHarish ChellaniSarah Ann WhiteMatthews MathaiNynke van den BroekPublished in: BMJ open (2020)
CPAP is used in neonatal units across government hospitals in India. Neonates may be overexposed to oxygen as the means to detect and treat consequences of oxygen toxicity are insufficient. Neonates may also be exposed to nosocomial infections by reuse of disposables. Case fatality rates for neonates receiving CPAP are high. Complications might be under-reported. Support to infrastructure, training, guidelines implementation and staffing are needed to improve CPAP use.
Keyphrases
- positive airway pressure
- obstructive sleep apnea
- sleep apnea
- public health
- healthcare
- low birth weight
- quality improvement
- primary care
- palliative care
- oxidative stress
- cross sectional
- risk factors
- acinetobacter baumannii
- pseudomonas aeruginosa
- staphylococcus aureus
- escherichia coli
- chronic pain
- affordable care act
- health insurance