Pettett G, Merenstein G B, Battaglia F C, Butterfield L J, Efird R
Pediatrics. 1975 Jun;55(6):774-82.
Regionalization of neonatal intensive care has necessitated air transport of the critically ill infant in sparsely populated areas. All newborn air transports to four Denver area newborn intensive-care units over a 14-month period were reviewed. An emergency-care nurse and a neonatal intensive-care nurse provided the basic transport team with physician assistance in selected cases. Infants were evaluated and stabilized at the referring hospital before moving the infant. The transports were analyzed for the type of air craft utilized, reason for referral, and mortality. The results indicate that prior planning will permit the use of the most appropriate aircraft and transport team. When using well-trained transport personnel, the presence of a physician may be limited to specific situations without adversely affecting overall neonatal mortality.
新生儿重症监护的区域化使得在人口稀少地区对危重新生儿进行航空转运成为必要。回顾了在14个月期间所有运往丹佛地区四个新生儿重症监护病房的新生儿航空转运情况。一个急救护士和一个新生儿重症监护护士组成基本转运团队,在某些情况下有医生协助。婴儿在转诊前在转诊医院接受评估并稳定病情。对转运所使用的飞机类型、转诊原因和死亡率进行了分析。结果表明,事先规划将允许使用最合适的飞机和转运团队。当使用训练有素的转运人员时,医生的在场情况可限于特定情况,而不会对新生儿总体死亡率产生不利影响。