Schmölzer Georg M, O'Reilly Megan, Cheung Po-Yin
Department of Pediatrics, University of Alberta, Edmonton, AB, Canada 11405-87 ; Neonatal Research Unit, Royal Alexandra Hospital, 10240 Kingsway Avenue NW, Edmonton, AB, Canada T5H 3V9 ; Division of Neonatology, Department of Pediatrics, Medical University of Graz, 8010 Graz, Austria.
Crit Care Res Pract. 2013;2013:632474. doi: 10.1155/2013/632474. Epub 2013 Feb 24.
The main indications for interhospital neonatal transports are radiographic studies (e.g., magnet resonance imaging) and surgical interventions. Specialized neonatal transport teams need to be skilled in patient care, communication, and equipment management and extensively trained in resuscitation, stabilization, and transport of critically ill infants. However, there is increasing evidence that clinical assessment of heart rate, color, or chest wall movements is imprecise and can be misleading even in experienced hands. The aim of the paper was to review the current evidence on clinical monitoring equipment during interhospital neonatal transport.
医院间新生儿转运的主要指征是影像学检查(如磁共振成像)和外科干预。专业的新生儿转运团队需要具备患者护理、沟通和设备管理方面的技能,并在危重症婴儿的复苏、稳定和转运方面接受广泛培训。然而,越来越多的证据表明,即使是经验丰富的人员,对心率、肤色或胸壁运动的临床评估也不准确,可能会产生误导。本文的目的是综述当前关于医院间新生儿转运期间临床监测设备的证据。