{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:03:27Z","timestamp":1787166207949,"version":"build-2736575974"},"reference-count":12,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"1","license":[{"start":{"date-parts":[[2023,7,5]],"date-time":"2023-07-05T00:00:00Z","timestamp":1688515200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,5]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n                  <jats:p>Lower respiratory tract infections (LRTIs) are the leading cause of death in young children globally. Most of the global burden of mortality from LRTIs occurs in low-resource settings (LRSs), where obtaining and maintaining respiratory support devices such as commercial bubble continuous positive airway pressure (bCPAP) can be prohibitive. Low-cost bCPAP devices exist, such as the homemade WHO-style bCPAP design, but the safety of this design has been called into question. Based on our team\u2019s experience with homemade bCPAP, the side effects of the high pressures described in recent studies are not commonly encountered. Therefore, we sought feedback via an international survey about various complications including pneumothorax from practitioners in LRSs who use two forms of homemade bCPAP. In our qualitative survey, we did not find a convincing pattern in the recall of complications between commercial bCPAP and homemade bCPAP with narrow- or wide-bore expiratory limb in neonates or older children.<\/jats:p>","DOI":"10.4269\/ajtmh.23-0065","type":"journal-article","created":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T09:54:21Z","timestamp":1684144461000},"page":"214-216","source":"Crossref","is-referenced-by-count":1,"title":["Reported Complications of Bubble Continuous Positive Airway Pressure Systems in Low-Resource Settings: An International Survey"],"prefix":"10.4269","volume":"109","author":[{"given":"Andrew Geli","family":"Wu","sequence":"first","affiliation":[{"name":"Division of Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children\u2019s Hospital, Boston, Massachusetts;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia R.","family":"Klein","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen C.","family":"John","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tina M.","family":"Slusher","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota;"},{"name":"Pediatric Critical Care Medicine, Department of Pediatrics, Hennepin Healthcare, Minneapolis, Minnesota;"},{"name":"Division of Pediatric Critical Care Medicine, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gwenyth A.","family":"Fischer","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota;"},{"name":"Division of Pediatric Critical Care Medicine, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann M.","family":"Brearley","sequence":"additional","affiliation":[{"name":"Division of Biostatistics, University of Minnesota School of Public Health, Minneapolis, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley R.","family":"Bjorklund","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota;"},{"name":"Pediatric Critical Care Medicine, Department of Pediatrics, Hennepin Healthcare, Minneapolis, Minnesota;"},{"name":"Division of Pediatric Critical Care Medicine, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Lancet","first-page":"3027","article-title":"Global, regional, and national causes of under-5 mortality in 2000\u201315: an updated systematic analysis with implications for the Sustainable Development Goals","volume":"388","author":"Liu","year":"2016"},{"key":"b2","series-title":"Lancet Infect Dis","first-page":"60","article-title":"Quantifying risks and interventions that have affected the burden of lower respiratory infections among children younger than 5 years: an analysis for the Global Burden of Disease Study 2017","volume":"20","year":"2020"},{"key":"b3","series-title":"Lancet","first-page":"2224","article-title":"A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990\u20132010: a systematic analysis for the Global Burden of Disease Study 2010","volume":"380","author":"Lim","year":"2012"},{"key":"b4","series-title":"Respir Care","first-page":"1572","article-title":"Evaluation of a bubble CPAP system for low resource settings","volume":"66","author":"Dundek","year":"2021"},{"key":"b5","series-title":"J Perinatol","first-page":"S21","article-title":"Efficacy and safety of CPAP in low- and middle-income countries","volume":"36","author":"Thukral","year":"2016"},{"key":"b6","series-title":"Respir Care","first-page":"3229360","article-title":"Benefits of BCPAP guidelines and the reduction of BPD in the NICU","volume":"64","author":"Murphy","year":"2019"},{"key":"b7","series-title":"Int J Gen Med","first-page":"25","article-title":"Bubble CPAP therapy for neonatal respiratory distress in level III neonatal unit in Amman, Jordan: a prospective observational study","volume":"12","author":"Al-Lawama","year":"2019"},{"key":"b8","series-title":"PLoS One","first-page":"e0235031","article-title":"Treatment outcomes of Pumani bubble-CPAP versus oxygen therapy among preterm babies presenting with respiratory distress at a tertiary hospital in Tanzania-randomised trial","volume":"15","author":"Mwatha","year":"2020"},{"key":"b9","series-title":"Lancet","first-page":"1057","article-title":"Bubble continuous positive airway pressure for children with severe pneumonia and hypoxaemia in Bangladesh: an open, randomised controlled trial","volume":"386","author":"Chisti","year":"2015"},{"key":"b10","series-title":"Oxygen Therapy for Children: A Manual for Health Workers","year":"2016"},{"key":"b11","series-title":"Arch Dis Child Fetal Neonatal Ed","first-page":"550","article-title":"Basic principles of neonatal bubble CPAP: effects on CPAP delivery and imposed work of breathing when altering the original design","volume":"105","author":"Baldursdottir","year":"2020"},{"key":"b12","series-title":"BMC Pediatr","first-page":"524","article-title":"Testing positive pressure delivered from commercial and WHO-style pediatric bubble CPAP devices","volume":"21","author":"Ettinger","year":"2021"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/109\/1\/article-p214.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/109\/1\/article-p214.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/109\/1\/article-p214.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,5]],"date-time":"2023-07-05T08:25:13Z","timestamp":1688545513000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/109\/1\/article-p214.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,5]]},"references-count":12,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.23-0065","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,5]]}}}