Ferrarese P, Pettenazzo A, Trevisanuto D, Verlato G, Biban P, Benini F, Carnielli V, Cogo P, Corner P, Orzali A, Zaramella P, Chiandetti L
Dipartimento di Pediatria, Università di Padova, Italia.
Pediatr Med Chir. 1996 May-Jun;18(3):253-8.
Advance in the science and technology of neonatal and pediatric critical care have resulted in improved outcome for high risk newborn and children. Effective interhospital transport programmes are necessary for the appropriate use of resources and has become an integral component of regionalized perinatal care. It is now well established that use of an organized neonatal and pediatric transport team results in a fall in mortality and morbidity of infant. The American College of Obstetrician and Gynecologist and, recently, American Academy of Pediatrics published guidelines and recommendations for safe interhospital transfer of neonates, infants and children. Training of personnel, selection of equipment, organization and communication between hospitals are critical elements of a successful transport system. We present an overview of the role, principles and operating procedures of such neonatal-pediatric transport team and the basis of clinical stabilization before and during transfer. We also discuss data of the first 17 month experience of the Neonatal-Pediatric Transport Service of the Department of Pediatrics, University of Padua.
新生儿及儿科重症监护的科学技术进步已使高危新生儿和儿童的预后得到改善。有效的医院间转运方案对于合理利用资源十分必要，并且已成为区域围产期护理的一个重要组成部分。目前已经明确，组建有组织的新生儿及儿科转运团队可降低婴儿的死亡率和发病率。美国妇产科学院以及最近的美国儿科学会都发布了关于新生儿、婴儿及儿童安全医院间转运的指南和建议。人员培训、设备选择、医院之间的组织和沟通是成功转运系统的关键要素。我们概述了此类新生儿 - 儿科转运团队的作用、原则和操作程序，以及转运前和转运期间临床稳定的基础。我们还讨论了帕多瓦大学儿科学系新生儿 - 儿科转运服务最初17个月经验的数据。
