Innovations and adaptations in neonatal and pediatric respiratory care for resource constrained settings

Respiratory disease is a leading cause of death in children under 5 years of age worldwide, and most of these deaths occur in low- to middle-income countries (LMICs) where advanced respiratory care technology is often limited. Much of the equipment required to provide advanced respiratory care is un...

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Main Authors: Andrew Wu, Mariya Mukhtar-Yola, Sreyleak Luch, Stephen John, Bikash Raj Adhikari, Caitlin Bakker, Tina Slusher, Ashley Bjorklund, Jameel Winter, Chinyere Ezeaka
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2022.954975/full
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author Andrew Wu
Mariya Mukhtar-Yola
Sreyleak Luch
Stephen John
Bikash Raj Adhikari
Caitlin Bakker
Tina Slusher
Tina Slusher
Ashley Bjorklund
Ashley Bjorklund
Jameel Winter
Chinyere Ezeaka
author_facet Andrew Wu
Mariya Mukhtar-Yola
Sreyleak Luch
Stephen John
Bikash Raj Adhikari
Caitlin Bakker
Tina Slusher
Tina Slusher
Ashley Bjorklund
Ashley Bjorklund
Jameel Winter
Chinyere Ezeaka
author_sort Andrew Wu
collection DOAJ
description Respiratory disease is a leading cause of death in children under 5 years of age worldwide, and most of these deaths occur in low- to middle-income countries (LMICs) where advanced respiratory care technology is often limited. Much of the equipment required to provide advanced respiratory care is unavailable in these areas due to high costs, the need for specialty trained personnel, and myriad other resource constraints that limit uptake and sustainable use of these devices, including reliable access to electricity, sensitive equipment needing frequent maintenance, single-patient-use supplies, and lack of access to sterilization equipment. Compounding the problem, pediatrics is uniquely challenging in that one size does not fit all, or even most patients. Despite these substantial barriers, numerous innovations in respiratory care technology have been made in recent years that have brought increasing access to high quality respiratory care in some of the most remote areas of the world. In this article, we intend to review the global burden of respiratory diseases for children, highlight the prototypical innovations that have been made in bringing respiratory care to LMICs, spotlight some of the technologies being actively developed to improve respiratory care in resource-constrained settings, and conclude with a discussion highlighting areas where further innovation is still needed.
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spelling doaj.art-8eaa1597f2874adbbc4e2c3efba3f0f82022-12-22T03:56:29ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-10-011010.3389/fped.2022.954975954975Innovations and adaptations in neonatal and pediatric respiratory care for resource constrained settingsAndrew Wu0Mariya Mukhtar-Yola1Sreyleak Luch2Stephen John3Bikash Raj Adhikari4Caitlin Bakker5Tina Slusher6Tina Slusher7Ashley Bjorklund8Ashley Bjorklund9Jameel Winter10Chinyere Ezeaka11Division of Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children’s Hospital, Boston, MA, United StatesDepartment of Paediatrics, National Hospital Abuja, Abuja, NigeriaDepartment of Pediatrics, Chenla Children’s Healthcare, Kratie, CambodiaDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, United StatesDepartment of Pediatrics, United Mission Hospital Tansen, Tansen, Palpa, NepalDiscovery Technologies, Health Sciences Libraries, University of Minnesota, Minneapolis, MN, United StatesDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, United StatesDepartment of Pediatrics, Hennepin Healthcare, Minneapolis, MN, United StatesDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, United StatesDepartment of Pediatrics, Hennepin Healthcare, Minneapolis, MN, United StatesDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, United StatesDepartment of Paediatrics, College of Medicine, University of Lagos, Lagos, NigeriaRespiratory disease is a leading cause of death in children under 5 years of age worldwide, and most of these deaths occur in low- to middle-income countries (LMICs) where advanced respiratory care technology is often limited. Much of the equipment required to provide advanced respiratory care is unavailable in these areas due to high costs, the need for specialty trained personnel, and myriad other resource constraints that limit uptake and sustainable use of these devices, including reliable access to electricity, sensitive equipment needing frequent maintenance, single-patient-use supplies, and lack of access to sterilization equipment. Compounding the problem, pediatrics is uniquely challenging in that one size does not fit all, or even most patients. Despite these substantial barriers, numerous innovations in respiratory care technology have been made in recent years that have brought increasing access to high quality respiratory care in some of the most remote areas of the world. In this article, we intend to review the global burden of respiratory diseases for children, highlight the prototypical innovations that have been made in bringing respiratory care to LMICs, spotlight some of the technologies being actively developed to improve respiratory care in resource-constrained settings, and conclude with a discussion highlighting areas where further innovation is still needed.https://www.frontiersin.org/articles/10.3389/fped.2022.954975/fullglobal healthneonatologyrespiratory supportinnovationsmedical devicesbubble CPAP
spellingShingle Andrew Wu
Mariya Mukhtar-Yola
Sreyleak Luch
Stephen John
Bikash Raj Adhikari
Caitlin Bakker
Tina Slusher
Tina Slusher
Ashley Bjorklund
Ashley Bjorklund
Jameel Winter
Chinyere Ezeaka
Innovations and adaptations in neonatal and pediatric respiratory care for resource constrained settings
Frontiers in Pediatrics
global health
neonatology
respiratory support
innovations
medical devices
bubble CPAP
title Innovations and adaptations in neonatal and pediatric respiratory care for resource constrained settings
title_full Innovations and adaptations in neonatal and pediatric respiratory care for resource constrained settings
title_fullStr Innovations and adaptations in neonatal and pediatric respiratory care for resource constrained settings
title_full_unstemmed Innovations and adaptations in neonatal and pediatric respiratory care for resource constrained settings
title_short Innovations and adaptations in neonatal and pediatric respiratory care for resource constrained settings
title_sort innovations and adaptations in neonatal and pediatric respiratory care for resource constrained settings
topic global health
neonatology
respiratory support
innovations
medical devices
bubble CPAP
url https://www.frontiersin.org/articles/10.3389/fped.2022.954975/full
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