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[Boussignac continuous positive airway pressure device during inter-hospital transportation in infants aged less than

R Manso Ruiz de la Cuesta1, P Del Villar Guerra, C Molinos Norniella

  • 1Complejo Hospitalario de Navarra (Pamplona). raquelmansoruiz@gmail.com.

Anales Del Sistema Sanitario De Navarra
|March 22, 2019
PubMed

Insights

Continuous positive airway pressure device (CPAPB) is safe for transporting infants with bronchiolitis. This respiratory support improved cardiorespiratory parameters during inter-hospital transfers.

Area of Science:

  • Pediatrics
  • Respiratory Medicine
  • Medical Devices

Background:

  • Bronchiolitis is a common respiratory infection in infants.
  • Safe respiratory support during transport is crucial for critically ill infants.
  • The Boussignac continuous positive airway pressure device (CPAPB) is a potential option for respiratory support.

Purpose of the Study:

  • To evaluate the safety and effectiveness of the CPAPB for transporting infants under three months with bronchiolitis.
  • To assess the impact of CPAPB on cardiorespiratory parameters during inter-hospital transfers.

Main Methods:

  • A four-year observational study involving 25 infants with bronchiolitis requiring inter-hospital transport.
  • CPAPB with a helmet interface was used.
  • Cardiorespiratory parameters were recorded before transfer and upon arrival at the Paediatric Intensive Care Unit (PICU).

Main Results:

  • CPAPB was safely applied, with a median pressure of 7 cm H2O.
  • No infant required endotracheal intubation during transport.
  • Significant improvements were observed in the modified Wood-Downes score, respiratory rate, heart rate, and oxygen saturation upon arrival at the PICU.

Conclusions:

  • CPAPB is a safe and effective method for respiratory support in young infants with bronchiolitis during transport.
  • The use of CPAPB during transportation leads to improved cardiorespiratory outcomes.
Abstract

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