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印度新生儿航空转运的可行性、安全性和有效性:病例系列研究

Feasibility, Safety, and Effectiveness of Neonatal Air Transport in India: A Case Series.

作者信息

Panigrahy Nalinikanta, Jamalpuri Vijayanand, Modumudi V B Pratyush, Bagga Nitasha, Chirla Dinesh Kumar

机构信息

Neonatology Department, Rainbow Children's Hospital, Hyderabad, Telangana, 500034, India.

出版信息

Indian Pediatr. 2025 Aug 6. doi: 10.1007/s13312-025-00146-x.

DOI:10.1007/s13312-025-00146-x
PMID:40768032
Abstract

Fifteen sick neonates were transported to higher-level neonatal intensive care units (NICUs) using specially equipped aircraft with trained medical teams. The median (Q1, Q3) one-way distance traveled (km) was 710 (689, 1224.5), and the median (Q1, Q3) transit time and airborne time were 6 (5.5, 7) and 1.25 (1.22, 2.15) hours, respectively. Thirteen neonates needed mechanical ventilation and five needed inotrope support during transit. The median (Q1, Q3) NICU stay was 20 (13.5, 35) days. Twelve neonates (80%) were discharged, two (13.3%) left against medical advice, and one died. Air ambulance is a feasible, effective, and safe mode of transportation of critically ill neonates in India.

摘要

15名患病新生儿乘坐配备特殊设备的飞机,并由训练有素的医疗团队护送,转运至更高层级的新生儿重症监护病房(NICU)。转运的单程距离(千米)中位数(四分位数间距)为710(689,1224.5),转运时间和空中飞行时间中位数(四分位数间距)分别为6(5.5,7)小时和1.25(1.22,2.15)小时。13名新生儿在转运过程中需要机械通气,5名需要使用血管活性药物支持。入住NICU的时间中位数(四分位数间距)为20(13.5,35)天。12名新生儿(80%)出院,2名(13.3%)自动出院,1名死亡。在印度,空中救护是危重新生儿可行、有效且安全的转运方式。

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本文引用的文献

1
High Frequency Oscillatory Ventilation (HFOV) and Inhaled Nitric Oxide (iNO) Use During Neonatal Emergency Transport - Feasibility and Efficacy in India.高频振荡通气(HFOV)和吸入一氧化氮(iNO)在新生儿急救转运中的应用 - 印度的可行性和疗效。
Indian J Pediatr. 2024 Dec;91(12):1268-1270. doi: 10.1007/s12098-024-05130-0. Epub 2024 Apr 25.
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Provision of intensive care for children. Effective transport systems are essential.为儿童提供重症监护。有效的运输系统至关重要。
BMJ. 1998 Nov 7;317(7168):1320; author reply 1321.
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Comparative mortality and morbidity of infants transferred in utero or postnatally.
宫内或出生后转运婴儿的死亡率和发病率比较
J Perinat Med. 1983;11(4):200-3. doi: 10.1515/jpme.1983.11.4.200.