使用经鼻持续气道正压通气转运极早产儿呼吸窘迫综合征患者

Transport of very preterm infants with respiratory distress syndrome using nasal continuous positive airway pressure.

作者信息

Jani P, Luig M, Wall M, Berry A

机构信息

Neonatal Intensive Care Unit, Westmead Hospital, Westmead, NSW, Australia The Children's Hospital, Westmead Clinical School, The University of Sydney, Westmead, NSW, Australia Newborn and Pediatric Emergency Transport Service (NETS), NSW, Australia.

Neonatal Intensive Care Unit, Westmead Hospital, Westmead, NSW, Australia Newborn and Pediatric Emergency Transport Service (NETS), NSW, Australia.

出版信息

J Neonatal Perinatal Med. 2014 Jan 1;7(3):165-72. doi: 10.3233/NPM-1473913.

DOI:10.3233/NPM-1473913

PMID:25322993

Abstract

AIM

To audit clinical practice during transport of very preterm infants (<32 weeks) with acute respiratory distress syndrome (RDS) receiving nasal continuous positive airway pressure (NCPAP).

METHODS

Retrospective cohort study.

RESULTS

Twenty-seven infants were receiving NCPAP before transport team's arrival, and 23 were commenced on NCPAP after team's arrival. Six infants (12%) failed NCPAP before transfer, 2 infants (4.5%) failed NCPAP less than 24 hours, and 5 infants (11.3%) failed more than 24 hours - 7 days following admission. None died or developed pneumothorax during, or 7 days after admission. We did not observe NCPAP failure during transfer. There was a statistically significant difference between the NCPAP success and NCPAP failure groups for FiO2 at admission (p < 0.05), and the duration of NCPAP (p < 0.05).

CONCLUSION

NCPAP is a potentially safe and effective mode of respiratory support for very preterm infants during ground, and air transports.

摘要

目的

审核在转运患有急性呼吸窘迫综合征（RDS）的极早产儿（<32周）期间使用鼻持续气道正压通气（NCPAP）的临床实践。

方法

回顾性队列研究。

结果

27名婴儿在转运团队到达前接受NCPAP治疗，23名婴儿在转运团队到达后开始使用NCPAP。6名婴儿（12%）在转运前NCPAP治疗失败，2名婴儿（4.5%）在入院后24小时内NCPAP治疗失败，5名婴儿（11.3%）在入院后24小时以上至7天内NCPAP治疗失败。在入院期间或入院后7天内，无婴儿死亡或发生气胸。我们未观察到转运期间NCPAP治疗失败的情况。NCPAP治疗成功组和失败组在入院时的吸入氧浓度（p<0.0