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An Innovative Air-Oxygen Blender for Continuous Positive Airway Pressure Support in Resource-Poor Locations: A Feasibility Study

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Objectives The objectives of this study are (i) to evaluate the feasibility of using an inexpensive air pump to maintain reliable oxygen concentration in a continuous positive airway pressure (CPAP)… Click to show full abstract

Objectives The objectives of this study are (i) to evaluate the feasibility of using an inexpensive air pump to maintain reliable oxygen concentration in a continuous positive airway pressure (CPAP) system and (ii) to evaluate whether an inexpensive air pump can maintain infant 02 sats >90%. Methods This prospective study, which included 19 babies in pilot phase and 90 during extension phase, was conducted at a neonatal intensive care unit in a resource-poor academic medical center in India. The intervention involved introduction of an air pump in the CPAP delivery system. Outcome measures were oxygen concentration in the air-oxygen blend and oxygen saturation of the study babies. Results Oxygen concentration at the outlets ranged between 56 and 70% and in the blend between 42 and 51%. Oxygen saturation ranged between 90 and 97%. Conclusion A simple and inexpensive air pump can work as a safe and effective oxygen blender.

Keywords: airway pressure; oxygen; air pump; air; continuous positive; positive airway

Journal Title: Journal of Tropical Pediatrics
Year Published: 2017

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