Successful use of an improvised bubble CPAP device for severe respiratory distress caused by pulmonary tuberculosis

Introduction: This case report discusses the successful use of an improvised bubble continuous positive airway pressure (CPAP) apparatus made using items commonly available in a poorly resourced district hospital. Case presentation: A 64-year-old female with no co-morbidities presented with respirat...

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Main Authors: Tabitha Nadishani Meyer, Gareth Dudley Meyer, Hans Jurgen Hendriks
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:African Journal of Emergency Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211419X20300665
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author Tabitha Nadishani Meyer
Gareth Dudley Meyer
Hans Jurgen Hendriks
author_facet Tabitha Nadishani Meyer
Gareth Dudley Meyer
Hans Jurgen Hendriks
author_sort Tabitha Nadishani Meyer
collection DOAJ
description Introduction: This case report discusses the successful use of an improvised bubble continuous positive airway pressure (CPAP) apparatus made using items commonly available in a poorly resourced district hospital. Case presentation: A 64-year-old female with no co-morbidities presented with respiratory failure due to pulmonary tuberculosis and was not accepted into the regional Intensive Care Unit (ICU) on referral. She required 8 days of improvised bubble CPAP to maintain adequate oxygen saturation before weaning and eventual discharge. Discussion: Improvised bubble CPAP is commonly used in neonatal care in developing countries and well described in literature however, there are no reports of its successful use in adult patients. In the absence of access to ICU or other Non-invasive ventilation (NIV) equipment, improvised bubble CPAP may provide some therapeutic benefit.
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spelling doaj.art-d05c0ec767d14710b71a3257f5cba8ff2022-12-21T19:53:20ZengElsevierAfrican Journal of Emergency Medicine2211-419X2020-12-01104281283Successful use of an improvised bubble CPAP device for severe respiratory distress caused by pulmonary tuberculosisTabitha Nadishani Meyer0Gareth Dudley Meyer1Hans Jurgen Hendriks2Zithulele Hospital, Mqanduli, South AfricaZithulele Hospital, Mqanduli, South Africa; Corresponding author at: Zithulele Hospital, Mqanduli, South Africa.Zithulele Hospital, Mqanduli, South Africa; Department of Family Medicine, Walter Sisulu University, South AfricaIntroduction: This case report discusses the successful use of an improvised bubble continuous positive airway pressure (CPAP) apparatus made using items commonly available in a poorly resourced district hospital. Case presentation: A 64-year-old female with no co-morbidities presented with respiratory failure due to pulmonary tuberculosis and was not accepted into the regional Intensive Care Unit (ICU) on referral. She required 8 days of improvised bubble CPAP to maintain adequate oxygen saturation before weaning and eventual discharge. Discussion: Improvised bubble CPAP is commonly used in neonatal care in developing countries and well described in literature however, there are no reports of its successful use in adult patients. In the absence of access to ICU or other Non-invasive ventilation (NIV) equipment, improvised bubble CPAP may provide some therapeutic benefit.http://www.sciencedirect.com/science/article/pii/S2211419X20300665Respiratory distressSevere pneumoniaCPAPLow resource settingNon-invasive ventilation
spellingShingle Tabitha Nadishani Meyer
Gareth Dudley Meyer
Hans Jurgen Hendriks
Successful use of an improvised bubble CPAP device for severe respiratory distress caused by pulmonary tuberculosis
African Journal of Emergency Medicine
Respiratory distress
Severe pneumonia
CPAP
Low resource setting
Non-invasive ventilation
title Successful use of an improvised bubble CPAP device for severe respiratory distress caused by pulmonary tuberculosis
title_full Successful use of an improvised bubble CPAP device for severe respiratory distress caused by pulmonary tuberculosis
title_fullStr Successful use of an improvised bubble CPAP device for severe respiratory distress caused by pulmonary tuberculosis
title_full_unstemmed Successful use of an improvised bubble CPAP device for severe respiratory distress caused by pulmonary tuberculosis
title_short Successful use of an improvised bubble CPAP device for severe respiratory distress caused by pulmonary tuberculosis
title_sort successful use of an improvised bubble cpap device for severe respiratory distress caused by pulmonary tuberculosis
topic Respiratory distress
Severe pneumonia
CPAP
Low resource setting
Non-invasive ventilation
url http://www.sciencedirect.com/science/article/pii/S2211419X20300665
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AT hansjurgenhendriks successfuluseofanimprovisedbubblecpapdeviceforsevererespiratorydistresscausedbypulmonarytuberculosis