Management of neonates with respiratory distress syndrome in resource-limited settings

South African Family Practice

Field Value
Title Management of neonates with respiratory distress syndrome in resource-limited settings
Creator Singh, Radhika Munian, Leann P. Memela, Nqobile A.
Subject Department of paediatrics, Neonatology AND Clinical technology, DUT CPAP; RDS; prematurity; surfactant; low- and middle-income countries; non-invasive respiratory support
Description In South Africa, prematurity stands as one of the foremost causes of neonatal mortality. A significant proportion of these deaths occur because of respiratory distress syndrome of prematurity. The implementation of non-invasive respiratory support, such as continuous positive airway pressure (CPAP), has demonstrated both safety and efficacy in reducing mortality rates and decreasing the need for mechanical ventilation. Given the absence of blood gas analysers and limited radiological services in many district hospitals, the severity of respiratory distress is often assessed through observation of the infant’s work of breathing and the utilisation of bedside scoring systems. Based on the work of breathing, non-invasive therapy can be commenced timeously. While evidence supporting the use of high-flow nasal cannula as a primary treatment for respiratory distress syndrome remains limited, it may be considered as an alternative, provided that CPAP machines are available. The purpose of this article is to advocate the use of non-invasive therapy in low resource-limited settings and describe the indications, contraindications, complications, and application of CPAP therapy. This would benefit healthcare workers, especially in low-care settings and district hospitals.
Publisher AOSIS
Contributor nil
Date 2024-05-22
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — CPD ARTICLE
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v66i1.5938
Source South African Family Practice; Vol 66, No 1 (2024): Part 4; 7 pages 2078-6204 2078-6190
Language eng
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Coverage SOUTH AFRICA 1970-2022 CPD article , neonates
Rights Copyright (c) 2024 Radhika Singh, Leann Prabashnee Munian, Nqobile Angel Memela