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Noninvasive ventilation for pediatric interfacility transports: a retrospective study 
Noninvasive ventilation for pediatric interfacility transports: a retrospective study
  Samantha Holbird, Tanya Holt, Adam Shaw, Gregory Hansen
 [Abstract] [Full Text] [PDF]   Pageviews: 3367 Times
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.
Conclusion: 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.
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World Journal of Pediatric Surgery

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