Self-Assembled Bubble Continuous Positive Airway Pressure (CPAP) Device as Primary Respiratory Support for Neonatal Respiratory Distress in Low-Resource Settings

Background: Self-assembled, bubble continuous positive airway pressure is a low-cost noninvasive respiratory support modality used to manage newborns with distress. Very few local studies have been conducted regarding its use in the management of neonatal This study was evaluate effectiveness this device as primary treatment for Methods: cross-sectional Department Pediatrics, Ziauddin Hospital, Karachi from 1st February 2018-31st July 2018 on neonates (n=200) admitted distress, whom self-assembled support. The determined, based absence associated complications, signs and oxygen saturation at room air 94% or more. Data were analyzed by SPSS version 20. Chi-square test categorical variables p-value <0.05 considered statistically significant. Results: mean gestational age 34.3+2.73 weeks, initiation 7.7 4 hours, duration hospital stay 4.2 days. observed failure rate population 8.5%, while mortality only 2%. finding distress syndrome chest- X-ray (FiO2) > 60% observed. In addition, CPAP after 6 hours onset showed significant results (p<0.001). Conclusion: Self-assembled effective (p=0.001) Keywords: Bubble Continuous Positive Airway Pressure; Neonates; Respiratory Distress.