Evaluating the Feasibility of a Nonelectric Bubble CPAP System in the NICU of a Philippine Regional Referral Hospital: A Qualitative Study.

Abstract

Aim: Bubble continuous positive airway pressure (bCPAP) is recommended by WHO for the treatment of neonatal respiratory distress; however, considerable challenges hinder global access. The objective of this study was to evaluate the feasibility of the use and integration of Vayu bCPAP systems into the neonatal intensive care unit of a public regional referral hospital in the Philippines. Methods: We conducted a mixed-methods study from March 2021 to May 2022. Demographic and clinical characteristics of 150 consecutive neonates treated with a Vayu bCPAP system were collected and analyzed. Forty-seven healthcare workers participated in a survey, and 5-point Likert scales were used to assess the usability and integration of Vayu bCPAP systems into the hospital. Results: The mean duration of bCPAP treatment was 2.5 days (range, 1.0-7.0). Of the neonates treated with a Vayu bCPAP system, 89.3% survived to discharge. Most healthcare workers reported that Vayu bCPAP systems are easy to use. The main themes included positive perceptions of usability, accessibility of the devices, and improved neonatal outcomes. There were mixed perceptions about training on the use of the device, and improvements were suggested. Conclusion: Implementation of Vayu bCPAP systems at a regional referral hospital in the Philippines was feasible. Vayu bCPAP systems were perceived to be easy to use and to improve neonatal outcomes.