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本文引用的文献

1
Respiratory support for infants with bronchiolitis, a narrative review of the literature.毛细支气管炎患儿的呼吸支持：文献叙事性综述。
Paediatr Respir Rev. 2019 Apr;30:16-24. doi: 10.1016/j.prrv.2018.10.001. Epub 2018 Oct 11.
2
Pediatric early warning score and deteriorating ward patients on high-flow therapy.小儿早期预警评分与接受高流量治疗的病情恶化病房患者
Pediatr Int. 2019 Mar;61(3):278-283. doi: 10.1111/ped.13787. Epub 2019 Mar 18.
3
Noninvasive Ventilation During Pediatric and Neonatal Critical Care Transport: A Systematic Review.儿科和新生儿重症监护转运期间的无创通气：系统评价。
Pediatr Crit Care Med. 2019 Jan;20(1):9-18. doi: 10.1097/PCC.0000000000001781.
4
Variability of Care in Infants with Severe Bronchiolitis: Less-Invasive Respiratory Management Leads to Similar Outcomes.重症毛细支气管炎婴儿护理的变异性：微创呼吸管理导致相似结果。
J Pediatr. 2017 Sep;188:156-162.e1. doi: 10.1016/j.jpeds.2017.05.033.
5
Outcomes for Children Receiving Noninvasive Ventilation as the First-Line Mode of Mechanical Ventilation at Intensive Care Admission: A Propensity Score-Matched Cohort Study.重症监护入院时接受无创通气作为机械通气一线模式的儿童的预后：一项倾向评分匹配队列研究。
Crit Care Med. 2017 Jun;45(6):1045-1053. doi: 10.1097/CCM.0000000000002369.
6
Noninvasive Respiratory Support During Pediatric Ground Transport: Implementation of a Safe and Feasible Procedure.儿科地面转运期间的无创呼吸支持：一种安全可行程序的实施
Respir Care. 2017 May;62(5):558-565. doi: 10.4187/respcare.05253. Epub 2017 Mar 21.
7
Noninvasive Respiratory Support During Transportation.转运期间的无创呼吸支持
Clin Perinatol. 2016 Dec;43(4):741-754. doi: 10.1016/j.clp.2016.07.009.
8
Evolution of Noninvasive Mechanical Ventilation Use: A Cohort Study Among Italian PICUs.无创机械通气使用情况的演变：一项针对意大利儿科重症监护病房的队列研究
Pediatr Crit Care Med. 2015 Jun;16(5):418-27. doi: 10.1097/PCC.0000000000000387.
9
High-flow nasal cannula (HFNC) support in interhospital transport of critically ill children.高流量鼻导管（HFNC）在危重症儿童院内转运中的支持作用。
Intensive Care Med. 2014 Apr;40(4):592-9. doi: 10.1007/s00134-014-3226-7. Epub 2014 Feb 15.
10
Effect of out-of-hospital noninvasive positive-pressure support ventilation in adult patients with severe respiratory distress: a systematic review and meta-analysis.院外无创正压支持通气对成年重度呼吸窘迫患者的影响：一项系统评价和荟萃分析。
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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.

DOI:10.1007/s12519-020-00363-3
PMID:32405709
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7222886/
Abstract

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.

摘要

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。