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Respiratory Support in Developing Countries Where Resources Are Limited

  • Trevor DukeEmail author
Chapter
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Abstract

The range of means for haemoglobin–oxygen pulsed saturation (SpO2) at sea level is 97–99 %, with the lower limits (mean, 2 SD) being 94 % (Lozano 2001). Therefore, the normal range at sea level is 94–100 %. The normal range of SpO2 becomes progressively lower in populations living in mountainous regions because of lower PaO2 at higher altitude (see Fig. 20.1) (Lozano 2001). This was estimated using data from 16 studies in children outside the neonatal period. The continuous line predicts the level of SpO2 below which oxygen should be given at different altitudes.

Keywords

Continuous Positive Airway Pressure Pulse Oximetry Supplemental Oxygen Gastric Distension Severe Respiratory Distress 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Ayieko P, English M (2006) In children aged 2–59 months with pneumonia, which clinical signs best predict hypoxaemia? J Trop Pediatr 52(5):307–310PubMedCrossRefGoogle Scholar
  2. Comer AM, Perry CM, Figgit DP (2001) Caffeine citrate: a review of its use in apnea of prematurity. Paediatr Drugs 3(1):61–79PubMedCrossRefGoogle Scholar
  3. Duke T (2003) Hypoxaemia in developing countries. Arch Dis Child 88:365PubMedCentralCrossRefGoogle Scholar
  4. Duke T, Frank D, Mgone J (2000) Hypoxaemia in children with severe pneumonia in Papua New Guinea. Int J Tuberg Lung Dis 5(6):511–519Google Scholar
  5. Duke T, Blaschke AJ, Sialis S, Bonkowsky JL (2002a) Hypoxaemia in acute respiratory and non-respiratory illness in neonates and children in a developing country. Arch Dis Child 86:108–112PubMedCentralPubMedCrossRefGoogle Scholar
  6. Duke T, Poka H, Frank D, Michael A, Mgone J, Wal T (2002b) Chloramphenicol versus benzylpenicillin and gentamicin for the treatment of severe pneumonia in children in Papua New Guinea: a randomised trial. Lancet 359:474–480PubMedCrossRefGoogle Scholar
  7. Frey B, Shann F (2003) Oxygen administration in infants. Arch Dis Child Fetal Neonatal Ed 88:F84–F88PubMedCentralPubMedCrossRefGoogle Scholar
  8. Frey B, McQuillan PJ, Shann F, Freezer N (2001) Nasopharyngeal oxygen therapy produces positive end-expiratory pressure in infants. Eur J Pediatr 160:556–560PubMedCrossRefGoogle Scholar
  9. Henderson-Smart DJ, Subramaniam P, Davis PG (2001) Continuous positive airway pressure versus theophylline for apnae in preterm infants. Cochrane Database Syst Rev (4):CD001072Google Scholar
  10. Koyamaibole L, Kado J, Qovu JD, Colquhourn S, Duke T (2006) An evaluation of bubble-CPAP in a neonatal unit in a developing country: effective respiratory support that can be applied by nurses. J Trop Pediatr 52(4):249–253; Epub Dec 2, 2005Google Scholar
  11. Laman M, Ripa P, Vince J, Tefuarani N (2005) Can clinical signs predict hypoxaemia in Papua New Guinean children with moderate and severe pneumonia? Ann Trop Paediatr 25(1):23–27PubMedCrossRefGoogle Scholar
  12. Lozano JM (2001) Epidemiology of hypoxaemia in children with acute lower respiratory infection. Int J Tuberc Lung Dis 5(6):496–504PubMedGoogle Scholar
  13. Muhe L, Weber M (2001) Oxygen delivery to children with hypoxaemia in small hospitals in developing countries. Int J Tuberc Lung Dis 5:527–532PubMedGoogle Scholar
  14. Nunn JF (1993) Hypoxia: critical arterial PO2 for cerebral function. In: Nunn JF (ed) Nunn’s applied respiratory physiology, 4th edn. Butterworth-Heinmann Ltd, Oxford, p 532Google Scholar
  15. Osborn DA, Henderson-Smart DJ (2000) Kinesthetic stimulation versus theophylline for apnea in preterm infants. Cochrane Database Syst Rev (2):CD000502Google Scholar
  16. Rojas MX, Granados Rugeles C, Charry-Anzola LP (2009) Oxygen therapy for lower respiratory tract infections in children between 3 months and 15 years of age. Cochrane Database Syst Rev (1):CD005975. doi: 10.1002/14651858.CD005975.pub2(1):39
  17. Schnapp L (1990) Uses and abuses of pulse oximetry. Chest 98:1244–1250PubMedCrossRefGoogle Scholar
  18. Sreenan C, Lemke RP, Hudson-Mason A, Osiovich H (2001) High-flow nasal cannulae in the management of apnea of prematurity: a comparison with conventional nasal continuous positive airway pressure. Pediatrics 107:1081–1083PubMedCrossRefGoogle Scholar
  19. Usen S, Weber M, Mulholland K, Jaffar S, Oparaugo A, Adegbola R et al (1999) Clinical predictors of hypoxaemia in Gambian children with acute lower respiratory tract infection: prospective cohort study. BMJ 318:86–91PubMedCentralPubMedCrossRefGoogle Scholar
  20. Weber MW, Palmer A, Oparaugo A, Mulholland EK (1995) Comparison of nasal prongs and nasopharyngeal catheter for the delivery of oxygen in children with hypoxaemia because of lower respiratory tract infection. J Pediatr 127:378–383PubMedCrossRefGoogle Scholar
  21. Weber MW, Usen S, Palmer A, Shabbar J, Mulholland EK (1997) Predictors of hypoxaemia in hospital admissions with acute lower respiratory tract infection in a developing country. Arch Dis Child 76:310–314PubMedCentralPubMedCrossRefGoogle Scholar
  22. World Health Organization (2003) Anaesthetic infrastructure and supplies. Surgical care at the district hospital, 1st edn. WHO, Geneva, pp 15–1–15–12Google Scholar
  23. World Health Organization (2005) Hospital care for children: guidelines for the management of common illnesses with limited resources. WHO, Geneva, http//www.who.int/child-adolescent-health/publications/CHILD_HEALTH/PB.htm. ISBN 92 4 154670 0Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Paediatric Intensive Care UnitRoyal Children’s HospitalMelbourneAustralia
  2. 2.Centre for International Child HealthUniversity of Melbourne and MCRIParkville, VictoriaAustralia
  3. 3.School of Medicine and Health SciencesUniversity of Papua New GuineaGuineaAustralia

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