Intra-Hospital Transport of Patients on Non-Invasive Ventilation: Review, Analysis, and Key Practical Recommendations by the International NIV Committee

Schreiber, Annia; Petit, Antonio Javier Domínguez; Groff, Paolo; Purro, Andrea; Ferrari, R.; Antonelli, Andrea; Stieglitz, Sven; Cosentini, Roberto; Köksal, Güniz Meyancı; Delis, Pablo Bayoumy; Fiorentino, Giuseppe; Dalar, Levent; Esquinas, António M.

doi:10.5152/ejp.2017.73745

Cited by 5 publications

(1 citation statement)

References 25 publications

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“…Pending the development of dedicated transport-oriented CPAP solutions, it is incumbent upon healthcare providers to navigate these challenges adeptly, leveraging the expertise of specialized transport teams and exhaustively exploring available resources to escalate respiratory support if warranted [ 14 , 15 ]. Notably, our observations reveal that while the lack of warmed and humidified gases during transport presents a notable challenge, our short-term data indicate no discernible adverse effects attributable to this constraint.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of High-Flow Nasal Cannula (RAM Cannula) With T-piece Resuscitator to Deliver Continuous Positive Airway Pressure (CPAP) During Neonatal Transport

Darverkar,

Bhutada,

Banait

et al. 2024

Cureus

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BackgroundNewborns frequently experience respiratory distress (RD), necessitating preventive management during transportation. The use of Continuous Positive Airway Pressure (CPAP) is crucial in mitigating RD in neonates, particularly during transit. This study aims to assess the feasibility and efficacy of utilizing a RAM cannula (Neotech Products, Valencia, USA) with a T-piece resuscitator to deliver CPAP during neonatal transport. The objective is to evaluate the response of transported neonates to this intervention, including improvements in distress, surfactant requirements, ventilator dependency, and complications. Method and materialNeonates with RD qualifying for CPAP support at birth and requiring transport to Neonatal Intensive Care Unit (NICU) care were included. The average duration of transport was 38 minutes (range 12 minutes to 2 hours). RAM cannula with a T-piece resuscitator was used for CPAP delivery during transportation. Vital parameters and interventions were monitored during transit, and outcomes were compared with inborn neonates receiving standard CPAP in the labor room. ResultsOut of 48 babies, nine babies required surfactant, and four needed invasive ventilation, with three developing a nasal injury. Compared to in-house preterm babies, these babies had more Positive End Expiratory Pressure (PEEP) knob adjustment, desaturation episodes, late surfactant administration, and intubation needs. ConclusionA high-flow nasal cannula combined with a T-piece resuscitator emerges as a promising modality for CPAP delivery during neonatal transportation, demonstrating efficacy with minimal complications.

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Section: Discussionmentioning

confidence: 99%