A Historical Perspective on the Transport of Premature Infants

Perry, Shannon E.

doi:10.1016/j.jogn.2016.09.007

Cited by 5 publications

(7 citation statements)

References 9 publications

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“…In the 1960s, FWA and helicopters were used for longer transport distances. The first known helicopter transport of a preterm infant in the United States occurred in 1967 when an infant was flown from Zion, IL, to a premature nursery in Peoria, IL, a distance of slightly more than miles (Perry, 2017; see Figure 2). For the first flights in the 1960s and 1970s, equipment needed to be modified; later, helicopters and planes were specially equipped for patient transport.…”

Section: Neonatal Palliative Carementioning

confidence: 99%

“…Early incubators were heated by hot water bottles, and oxygen was piped in from a tank. The Accli-Bator was commonly used in the 1960s, with heat supplied by a plug-in to the ambulance cigarette lighter (Perry, 2017). Later models of transport incubators were made of rigid Plexiglas and were designed so that the infant was visible.…”

Section: Training Nurses For Transport Dutymentioning

confidence: 99%

“…St. Anthony Hospital in Denver, CO, started a helicopter service for transport in 1972 and is sometimes credited as the first hospital-based helicopter service in the United States. However, St. Francis Hospital in Peoria, IL, had established a helicopter transport program in 1967 (Perry, 2017;Sheehy, 1995).…”

Section: Benefits and Challenges Of Air Transportation Of High-risk Infantsmentioning

confidence: 99%

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Fifty Years of Progress in Neonatal and Maternal Transport for Specialty Care

Perry¹

2021

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Specialty care for preterm and critically ill infants has evolved over many years. Neonatal intensive care nurseries were developed, and physicians and nurses learned how to provide intensive care for these infants. Neonatal and maternal (in utero) transport to tertiary centers became common in regionalized systems of care to facilitate the specialized care of high-risk neonates when childbirth occurred in settings without specialized personnel or equipment. Annually, nearly 70,000 neonatal transports occur in the United States. Although specialty care helps reduce rates of neonatal mortality, racial disparities and disparities between urban and rural areas exist. The purpose of this article is to review the progress achieved in neonatal and maternal transport over the past 50 years. The knowledge developed can be used to improve the care provided to women, their fetuses, and infants.

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Section: Neonatal Palliative Carementioning

confidence: 99%

Section: Training Nurses For Transport Dutymentioning

confidence: 99%

Section: Benefits and Challenges Of Air Transportation Of High-risk Infantsmentioning

confidence: 99%

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Fifty Years of Progress in Neonatal and Maternal Transport for Specialty Care

Perry¹

2021

Journal of Obstetric, Gynecologic & Neonatal Nursing

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“…The transport of these infants carries inherent risks (18). To provide safe transfer, a highly qualified transport team, a sophisticated incubator, vehicular first-aid devices, and an ambulance are required (19), which is obviously inconvenient.…”

Section: Introductionmentioning

confidence: 99%

Twelve-year outcomes of bedside laser photocoagulation for severe retinopathy of prematurity

et al. 2023

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PurposeThe purpose of this study is to evaluate the 12-year outcomes of bedside laser photocoagulation (LP) for severe retinopathy of prematurity (ROP) under sedation combined with ocular surface anesthesia in neonatal intensive care units (NICU).DesignThe study is a retrospective case series.MethodsInfants treated with bedside LP for severe ROP from April 2009 to September 2021 were included. All LP treatments were performed under sedation and surface anesthesia at the bedside in NICU. Data were recorded for clinical and demographic characteristics, total laser spots, duration of treatment, proportion of total regression of ROP, proportion of recurrence, and adverse events.ResultsA total of 364 infants (715 eyes) were included, with a mean gestational age of 28.6 ± 2.4 weeks (range: 22.6–36.6 weeks) and a mean birth weight of 1,156.0 ± 339.0 g (range: 480–2,200 g). The mean number of laser spots was 832 ± 469, and the mean duration of treatment was 23.5 ± 5.3 min per eye. Of all the eyes, 98.3% responded to LP with complete regression of ROP. ROP recurred in 15 (2.1%) eyes after the initial LP. Additional LP was performed in seven (1.0%) eyes. No patient exhibited mistaken LP of other ocular tissues, and there were no serious ocular adverse effects. None of them needed endotracheal intubation.ConclusionsBedside LP treatment is effective and safe for premature infants with severe ROP under sedation and surface anesthesia in NICU, especially for infants whose general condition is unstable and not suitable for transport.

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“…1 Practicing neonatologists participate in this process as the referring provider, the accepting provider, and/or the medical control physician in order to provide safe and efficient transfers of critically ill newborns or premature babies between hospitals. [1][2][3][4] Medical control physicians direct the clinical management of transported patients either in-person or by telecommunications. Neonates that require transfer to a tertiary care facility have higher rates of mortality and morbidity during their hospitalization.…”

Section: Introductionmentioning

confidence: 99%

A Video and Case-Based Transport Curriculum for Neonatal-Perinatal Medicine Trainees Using a Flipped Classroom Methodology

2021

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Introduction: Neonatal-perinatal medicine (NPM) providers actively manage medical transports. However, there is wide variation in transport education among fellowship programs. Using the flipped classroom methodology, we developed a video and case-based transport education curriculum. Methods: A national needs assessment identified safety, communication skills, and physiology as the most important aspects of transport management. Three 10-minute video modules and two 20-minute case-based discussions were developed to address this content. Using the flipped classroom format, seven NPM fellows from all three postgraduate years of training took part in the curriculum by individually viewing each video followed by participation in group case-based discussions. Cognitive and affective outcomes were assessed using a knowledge and attitude pretest, individual video module posttests, and a postcurriculum follow-up survey. Results: NPM fellows showed significant improvements in transport knowledge and reported increased confidence in their ability to perform important transport roles. Case discussions were adaptable to learners who had different levels of training and had variable transport experience. Case discussions were successfully executed both in person and by video telecommunications during the 2020 COVID-19 pandemic. Discussion: This transport curriculum addressed a national education gap in NPM fellowship training. Using the flipped classroom methodology, cognitive and affective objectives were achieved by improving knowledge and confidence in transport skills among NPM learners. The video and case-based formats were easily implemented, applicable to multiple types of learners, and adaptable to different environments.

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A Historical Perspective on the Transport of Premature Infants

Cited by 5 publications

References 9 publications

Fifty Years of Progress in Neonatal and Maternal Transport for Specialty Care

Fifty Years of Progress in Neonatal and Maternal Transport for Specialty Care

Twelve-year outcomes of bedside laser photocoagulation for severe retinopathy of prematurity

A Video and Case-Based Transport Curriculum for Neonatal-Perinatal Medicine Trainees Using a Flipped Classroom Methodology

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