Use of nasal continuous positive airway pressure during neonatal transfers

Abstract

There is a small but significant demand for transferring infants who are receiving nasal CPAP. Nasal CPAP appears to be a safe method of respiratory support for a carefully selected group of infants during land based ambulance transfers.

Use of Nasal Continuous Positive Airway Pressure During Retrieval of Neonates With Acute Respiratory Distress

“…In the study by Bomont and Cheema, 8 the mean age at transfer was 28 days, and 73 of 84 transfers by the emergency team were for repatriation of infants from a tertiary unit to a local hospital. Because the only units in Victoria managing infants on NCPAP are based in Melbourne, there are no return transfers of infants on NCPAP.…”

“…A larger series of 100 infants transported by road on NCPAP has been reported from a team based in Cambridge, United Kingdom. 8 Neither of these reports included aeromedical transport of infants on NCPAP. One group from Scotland reports intubating all of the infants on NCPAP requiring aeromedical transport.…”

“…9 There are limited data on the use of NCPAP in the transport of infants with acute respiratory distress, with the 100 patients in the Cambridge report having a mean age of 28 days and only 3 infants identified as having acute respiratory distress. 8 The Victorian Newborn Emergency Transport Service (NETS) is the largest provider of infant and neonatal transport in Australia. NETS serves a population of 5 million people and covers 225 000 km 2 .…”

Inter-hospital transport of newborns in critical condition: integrative literature review

“…Nesse caso, o consultor de transporte (regulador) que realizou a triagem e designou a composição da equipe será o responsável pelo RN até sua chegada ao hospital de destino. 18 Ressalta-se que em grande parte dos países da América do Norte os enfermeiros possuem formação e treinamento que os possibilitam intervir mediante intercorrências apresentadas durante o transporte, como realização de drenagem de tórax e intubação. 19 O Ministério da Saúde, por meio do Manual de orientações sobre o transporte neonatal, reconhece a participação de outros profissionais no transporte neonatal, mas sinaliza que o transporte, no Brasil, somente poderá ser realizado por médico apto a realizar os procedimentos necessários ao neonato gravemente enfermo.…”

Noninvasive Ventilation during Pediatric Interhospital Ground Transport

“…Reports of the use of noninvasive ventilation (NIV)-either continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP)-during ambulance transport of adults 1−4 and neonates 5,6 are rare. We found no reports of NIV during ambulance transport of children, though this therapy has been used extensively on hospitalized children as well as in the home.…”