High Frequency Oscillatory Ventilation (HFOV) and Inhaled Nitric Oxide (iNO) Use During Neonatal Emergency Transport – Feasibility and Efficacy in India

A retrospective study of 24 neonates to evaluate the feasibility and efficacy of high frequency oscillatory ventilation (HFOV) and inhaled nitric oxide (iNO) for transferring critically ill neonates to tertiary neonatal intensive care, who were transported by road ambulance was done. Efficacy was me...

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Bibliographic Details
Published in:Indian journal of pediatrics 2024-12, Vol.91 (12), p.1268-1270
Main Authors: Panigrahy, Nalinikanta, Hambir, Tejas Deepak, Reddy, Pradeep Kumar, Jamalpuri, Vijayanand, Bagga, Nitasha, Chirla, Dinesh Kumar
Format: Article
Language:English
Subjects:
Administration, Inhalation
Clinical Brief
Feasibility Studies
Female
Gynecology
High-Frequency Ventilation - methods
Humans
India
Infant, Newborn
Male
Medicine
Medicine & Public Health
Nitric Oxide - administration & dosage
Nitric Oxide - therapeutic use
Pediatrics
Retrospective Studies
Transportation of Patients
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Summary:A retrospective study of 24 neonates to evaluate the feasibility and efficacy of high frequency oscillatory ventilation (HFOV) and inhaled nitric oxide (iNO) for transferring critically ill neonates to tertiary neonatal intensive care, who were transported by road ambulance was done. Efficacy was measured by clinical improvement, patient safety was assessed by comparing cardiorespiratory indicators before and after transport, and adverse events during transport. Significant oxygenation improvement was observed in neonates transported with HFOV ± iNO compared to earlier ventilator settings. Pre- and post-transport vital signs were stable, and no transport-related deaths occurred. A substantial rise in median SpO 2 was seen after transfer [86 (81, 91) vs. 93 (89, 97) before transport, p  
ISSN:0019-5456
0973-7693
0973-7693
DOI:10.1007/s12098-024-05130-0