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Updated: Jun 24, 2026

Preoxygenation Techniques for Tracheal Intubation in Critically Ill Adults Utilizing Oxygen Mask and Noninvasive Ventilation
Published on: December 5, 2025
Noninvasive ventilation during pediatric interhospital ground transport
J Scott Baird1, Jessica B Spiegelman, Robert Prianti
1College of Physicians and Surgeons, Children's Hospital of New York-Presbyterian, Columbia University, New York, New York 10032, USA. jsb106@columbia.edu
Objective:
We report our use of noninvasive ventilation (NIV) during pediatric interhospital ground transport.
Methods:
We retrospectively reviewed transport and hospital records for nonneonatal patients
Results:
NIV was used during 31 transports of 25 patients (CPAP: 18 transports for 16 patients; BiPAP: 13 transports for nine patients). Nine patients (36%) were NIV-dependent prior to transport. Diagnoses included neurologic disease (n = 10), pulmonary disease (n = 10), congenital heart disease (n = 4), and other (n = 1). Oxygen saturation (SpO(2)) improved to or remained greater than 93% during all transports. Neither tracheal intubation nor cardiopulmonary resuscitation was required during or for one hour following any transport-though airway suctioning and/or bag-valve-mask ventilation was required during eight of 31 (26%) transports. Six of 17 patients transferred into our hospital while receiving NIV required tracheal intubation at three to 84 hours after transport; none of these patients developed aspiration pneumonia.
Conclusions:
Though the use of NIV during pediatric interhospital ground transports was not associated with serious out-of-hospital complications, advanced pediatric airway skills were frequently required.
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