Factors Affecting Stabilization Times in Neonatal Transport

Wahab, Muzafar Gani Abdul; Thomas, Sumesh; Murthy, Prashanth; Chakkarapani, Aravanan Anbu

doi:10.1016/j.amj.2019.06.005

Cited by 10 publications

(8 citation statements)

References 8 publications

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“…Wahab et al (2019) analyzed factors affecting the duration of infant stabilization before transport. They reported that the most commonly performed medical procedures included intravenous cannulation, and intubation and ventilation [ 23 ], which is also confirmed by our present findings. In addition, Wahab et al (2019) found that in cases of newborns requiring one or more medical procedures or interventions, the stabilization took a significantly longer time than in cases of transfers without interventions [ 23 ].…”

Section: Discussionsupporting

confidence: 91%

“…They reported that the most commonly performed medical procedures included intravenous cannulation, and intubation and ventilation [ 23 ], which is also confirmed by our present findings. In addition, Wahab et al (2019) found that in cases of newborns requiring one or more medical procedures or interventions, the stabilization took a significantly longer time than in cases of transfers without interventions [ 23 ]. Our present findings indicate that Polish Medical Air Rescue teams performed the most emergency medical procedures during medical rescue transport missions, and the time spent on scene and the patient care duration were longest with this type of mission.…”

Section: Discussionsupporting

confidence: 91%

“…This is important, as such events may be the cause of mortality or morbidity. Neonatal transport services allow for providing intensive care to newborns in critical condition before and during transfer between healthcare facilities, due to the performance of the required emergency medical procedures, among other factors [ 20 , 21 , 22 , 23 ]. The study by Kumar et al (2011) demonstrated that the emergency procedures most frequently carried out during neonatal transport by specialist team members involved intravenous cannulation and fluid resuscitation [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

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Polish Medical Air Rescue Crew Interventions Concerning Neonatal Patients

et al. 2021

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The purpose of the study was to present the characteristics of Helicopter Emergency Medical Service (HEMS) and Emergency Medical Service (EMS) interventions concerning newborns in Poland. The study involved a retrospective analysis of missions by Polish Medical Air Rescue crews concerning newborns, carried out in Poland between January 2011 and December 2020. Polish Medical Air Rescue crews were most commonly dispatched to urban areas (86.83%), for patient transfer (59.67%), using an airplane (65.43%), between 7 AM and 6:59 PM (93.14%), and in the summer (28.67%). Further management involved handing over the neonatal patient to a ground neonatal ambulance team. Most of the patients studied were male (58.02%), and the most common diagnosis requiring the HEMS or EMS intervention was a congenital heart defect (31.41%). The most common medical emergency procedure performed by Polish Medical Air Rescue crew members for the neonatal patients was intravenous cannulation (43.07%). The odds ratio for congenital malformations was higher in male newborns. The type of Polish Medical Air Rescue mission was associated with the location of the call, time of the call, ICD-10 diagnosis associated with the dispatch, selected clinical findings, most commonly performed medical emergency procedures, and mission duration and distance covered.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

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Polish Medical Air Rescue Crew Interventions Concerning Neonatal Patients

et al. 2021

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“…Only when the neonate is judged to be stable enough for transport does the transport team transfer the neonate to the transport incubator. Inadequate stabilization before transfer is the leading cause of complications during transfer; thus, the time taken to stabilize the neonate is well spent (Wahab et al, 2019).…”

Section: Stabilization Of the Neonate Before Transportmentioning

confidence: 99%

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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“…The treatment of sick neonates in more specialised neonatal intensive care units (NICUs) has been linked to decreased morbidity and mortality (Pai et al 2020 ). Transfers become crucial when neonates are born in hospitals that are ill-equipped or ill-prepared to deliver specialised neonatal intensive care (Wahab et al 2019 ).…”

Section: Introductionmentioning

confidence: 99%