Noninvasive Respiratory Support During Pediatric Ground Transport: Implementation of a Safe and Feasible Procedure

Abstract

NIV seems to be a safe and feasible technique during pediatric ground transport. Careful patient selection, adequate material, and a well-trained transport team are crucial to minimize risks to the patient.

Critically ill neonates displayed stable vital parameters and reduced metabolic acidosis during neonatal emergency airborne transport in Sweden

“…It has long since been standard procedure to secure the airways by endotracheal intubation and provide mechanical ventilation for newborn infants during transport . Reports have shown the feasibility of avoiding invasive ventilation during non‐acute transports and during transport of selected groups of patients . As no infants required intubation en‐route for respiratory failure, the study results indicated that providing mechanical ventilation for all acute transports was not mandatory.…”

Boussignac continuous positive airway pressure device during inter-hospital transportation in infants aged less than three months

“…Ningún paciente en nuestro estudio requirió intubación endotraqueal durante el transporte, al igual que en la mayoría de los estudios realizados en pacientes pediátricos trasladados con VNI, donde la tasa de intubación se situa en torno al 0-1% 3,4,18 . Los pacientes que precisan intubación durante las primeras horas de estancia en UCIP tienen alto riesgo de desestabilización durante el transporte y de fracaso del soporte de VNI, siendo este porcentaje bajo en nuestro estudio (4%, n=1).…”

“…El transporte sanitario es una intervención médica que conlleva un riesgo añadido a la enfermedad propia del paciente 1 , ya que las actuaciones terapéuticas y de monitorización durante el mismo se ven dificultadas, por lo que asegurar la estabilidad del enfermo antes del traslado es esencial 2 . Numerosos estudios sobre ventilación no invasiva (VNI) como soporte respiratorio extrahospitalario en pacientes pediátricos avalan su seguridad 3,4 .…”

Non‐invasive ventilation practices in children across Europe

“…Consequently, it has been reported that the use of NIV has significantly increased during the past two decades . The use of NIV has also spread outside intensive care units …”

“…1,3,7,9 The use of NIV has also spread outside intensive care units. 1,7,9,10 There is scarce information about the use and effectiveness of NIV after extubation in children. The use of NIV immediately after endotracheal tube removal (as part of the weaning process), has been proven to be useful in some adult patients, 11 while this has not been shown in children to date.…”