{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T17:14:16Z","timestamp":1783358056145,"version":"3.54.6"},"reference-count":23,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:00:00Z","timestamp":1783036800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neonatal-Perinatal Medicine"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To assess the feasibility and efficacy of Vayu continuous positive airway pressure (vCPAP) for preterm and term infants with respiratory distress in the delivery room.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Feasibility study of infants of any gestational age presenting with respiratory distress defined as a Silverman\u2013Anderson Score (SAS) \u22654 in the delivery room, who were started on vCPAP prior to transfer to the NICU and maintained during transport. Efficacy was assessed by comparing SAS, FiO\n                      <jats:sub>2<\/jats:sub>\n                      , and SpO\n                      <jats:sub>2<\/jats:sub>\n                      before initiation of vCPAP, 1\u00a0min after initiation, and at the time of NICU admission. Secondary outcomes were feasibility accessed by a survey applied to all health care professionals (HCP), and safety (pneumothorax or clinical deterioration). Descriptive analysis and parametric and non-parametric tests were applied (alpha of 5%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      10 preterm and 10 term infants were initially enrolled, but one term was excluded because of a protocol deviation. The median gestational age was 37.6 \u00b1 1.1\u00a0weeks for preterm and 34.2 \u00b1 1.6\u00a0weeks for term infants. A significant improvement in SAS from five prior to vCPAP initiation (IQR 4\u20136) to three 1\u00a0min after initiation (IQR 2\u20134,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.01), to two on NICU admission (IQR 1\u20133,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). No significant differences in FiO\n                      <jats:sub>2<\/jats:sub>\n                      , SpO\n                      <jats:sub>2<\/jats:sub>\n                      , or CPAP pressure over these time periods were identified. Among HCP, ease of use and satisfaction were highlighted. No complications were observed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In neonates with respiratory distress after birth, a clinical improvement was noted after initiation of vCPAP in the DR and during transport to the NICU.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19345798261464969","type":"journal-article","created":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T04:31:25Z","timestamp":1783139485000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A simple, low-cost bubble CPAP system for use in the delivery room and during transport to the NICU for infants with respiratory distress: A feasibility study"],"prefix":"10.1177","author":[{"given":"Danieli M. K.","family":"Leandro","sequence":"first","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6067-9727","authenticated-orcid":false,"given":"Elisa S. B.","family":"Medeiros","sequence":"additional","affiliation":[{"name":"McGill University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lidiaine N.","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Nurse Coordinator, Neonatal Division, Universidade Estadual de Londrina, Paran\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9390-6562","authenticated-orcid":false,"given":"Gabriel F. 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