Use of nasal continuous positive airway pressure during neonatal transfers

Objective: To review all cases in which nasal continuous positive airway pressure (CPAP) was used as a means of respiratory support during land based ambulance transfers by a regional neonatal transport service. Design: Retrospective study based on review of transport records. Results: A total of 11...

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Bibliographic Details
Published in:Archives of disease in childhood. Fetal and neonatal edition 2006-03, Vol.91 (2), p.F85-F89
Main Authors: Bomont, R K, Cheema, I U
Format: Article
Language:English
Subjects:
Ambulances
Continuous Positive Airway Pressure
Emergencies
England
Humans
Infant
Infant Care - methods
Infant, Newborn
Infant, Premature
Infants
Original
Referral and Consultation - organization & administration
Retrospective Studies
transport
Triage - organization & administration
ventilation
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Summary:Objective: To review all cases in which nasal continuous positive airway pressure (CPAP) was used as a means of respiratory support during land based ambulance transfers by a regional neonatal transport service. Design: Retrospective study based on review of transport records. Results: A total of 1175 transfer requests were received over the 21 month period. The infant in 163 of these cases was receiving nasal CPAP. Ninety two referrals were accepted by the doctor/nurse practitioner led team. Of these, 84 were transported while receiving nasal CPAP. Intervention during transport was required in three of these cases. Fifty five referrals were accepted by the nurse led team. Of these, 16 were transported while receiving nasal CPAP. Intervention was required in two cases. Conclusion: There is a small but significant demand for transferring infants who are receiving nasal CPAP. Nasal CPAP appears to be a safe method of respiratory support for a carefully selected group of infants during land based ambulance transfers.
ISSN:1359-2998
1468-2052
DOI:10.1136/adc.2005.078022