经鼻高流量湿化氧疗在儿童转运中的应用：一项回顾性研究
Noninvasive ventilation for pediatric interfacility transports: a retrospective study.
机构信息
College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Division of Pediatric Critical Care, Jim Pattison Children's Hospital, 103 Hospital Drive, Saskatoon, SK, S7N 0W8, Canada.
出版信息
World J Pediatr. 2020 Aug;16(4):422-425. doi: 10.1007/s12519-020-00363-3. Epub 2020 May 13.
BACKGROUND
To characterize pediatric patients supported with continuous positive airway pressure and bilevel positive airway pressure (CPAP/BiPAP) or high-flow nasal cannula (HFNC) during interfacility transport (IFT).
METHODS
A retrospective study with a provincial pediatric transport team from a tertiary hospital pediatric intensive care unit. Pediatric patients aged 28 days to < 17 years, who required IFT between January 2017 and December 2018, were identified through a transport registry and were included in the study.
RESULTS
A total of 118 (26.7%) patients received CPAP/BIPAP or HFNC support for IFT. The most common respiratory diagnosis was bronchiolitis (46%). These patients were placed on respiratory support, 31.4 minutes after the transport team's arrival. None required intubation during their IFT, despite mean transport times of 163 minutes.
CONCLUSIONS
This study may provide important information for programs with large catchment areas, in which large distances and transport times should not be barriers to NIV implementation.
背景
描述在院间转运（IFT）期间使用持续气道正压通气和双水平气道正压通气（CPAP/BiPAP）或高流量鼻导管（HFNC）支持的儿科患者的特征。
方法
这是一项回顾性研究，涉及一家三级医院儿科重症监护病房的省级儿科转运团队。通过转运登记册确定了 2017 年 1 月至 2018 年 12 月期间需要 IFT 的 28 天至<17 岁的儿科患者，并将其纳入研究。
结果
共有 118 名（26.7%）患者在 IFT 期间接受 CPAP/BiPAP 或 HFNC 支持。最常见的呼吸诊断是细支气管炎（46%）。这些患者在转运团队到达后 31.4 分钟开始接受呼吸支持。尽管平均转运时间为 163 分钟，但在 IFT 期间没有患者需要插管。
结论
本研究可为覆盖面积较大的项目提供重要信息，对于这些项目来说，较大的距离和转运时间不应成为实施无创通气的障碍。
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