학술논문

Noninvasive ventilation for pediatric interfacility transports:a retrospective study
Document Type
Academic Journal
Source
世界儿科杂志(英文版) / World Journal of Pediatrics. 16(4):422-425
Subject
Children
Critical illness
Intubation
Noninvasive ventilation
Transportation of patients
Language
Chinese
ISSN
1708-8569
Abstract
Background To characterize pediatric patients supported with continuous positive airway pressure and bilevel positive airway pressure (CPAP/BiPAP) or high-flow nasal cannula (HFNC) during interfacility transport (IFT).Methods A retrospective study with a provincial pediatric transport team from a tertiary hospital pediatric intensive care unit.Pediatric patients aged 28 days to < 17 years,who required IFT between January 2017 and December 2018,were identified through a transport registry and were included in the study.Results A total of 118 (26.7%) patients received CPAP/BIPAP or HFNC support for IFT.The most common respiratory diagnosis was bronchiolitis (46%).These patients were placed on respiratory support,31.4 minutes after the transport team's arrival.None required intubation during their IFT,despite mean transport times of 163 minutes.Conclusions This study may provide important information for programs with large catchment areas,in which large distances and transport times should not be barriers to NIV implementation.