Interhospital Transport of Infants on Bubble Continuous Positive Airway Pressure via Ground and Air
| Autor: | Toni Clark, Howard L. Williams, Ellen Webb, Glorine E. Lampe, Connie D. Anderson, Noah H. Hillman |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Neonatal intensive care unit
medicine.medical_treatment Gestational Age 030204 cardiovascular system & hematology Emergency Nursing 03 medical and health sciences 0302 clinical medicine Intensive Care Units Neonatal Fraction of inspired oxygen medicine Humans Intubation Continuous positive airway pressure Retrospective Studies Mechanical ventilation Respiratory Distress Syndrome Newborn Continuous Positive Airway Pressure Respiratory distress business.industry Infant Newborn Infant Gestational age 030208 emergency & critical care medicine Retrospective cohort study Anesthesia Emergency Medicine business |
| Zdroj: | Air Medical Journal. 39:458-463 |
| ISSN: | 1067-991X |
| DOI: | 10.1016/j.amj.2020.09.001 |
| Popis: | Objective The purpose of this study was to evaluate the use of a respiratory protocol for the interhospital transport of infants with respiratory distress on bubble continuous positive airway pressure (bCPAP) and provide information on the safety of bCPAP during transport via ground and helicopter. Methods We evaluated a retrospective cohort study of neonates (gestational age 22-41 weeks) transported to our level 4 neonatal intensive care unit (NICU) before (n = 529) and after implementing (n = 540) protocols for increasing bCPAP and intubation criteria. Infants were evaluated for intubation before transport, the safety of transport, and the need for intubation shortly after arrival in the NICU. Results After initiating the protocols, less infants received mechanical ventilation, and more infants received bCPAP for transport via ground and helicopter. Upon arrival to the NICU, infants using the protocols had lower fraction of inspired oxygen and higher continuous positive airway pressures, and similar numbers required intubations in the first 12 hours. There were no differences in the rate of pneumothoraces. Conclusions bCPAP can be used on both ground and helicopter transport of very small infants. Respiratory protocols decreased mechanical ventilation during transport without increasing the need for intubation within 12 hours of arrival. |
| Databáze: | OpenAIRE |
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