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Author Spotlight: Assessing the Feasibility of Using Amplitude-Integrated EEG During Neonatal Transport
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Author Spotlight: Assessing the Feasibility of Using Amplitude-Integrated EEG During Neonatal Transport

Published on: June 21, 2024

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Neurocritical care of high-risk infants during inter-hospital transport

Neelam Gupta1,2, Lara Shipley3, Nitin Goel4

  • 1University of Southampton, Southampton, UK.

Acta Paediatrica (Oslo, Norway : 1992)
|July 20, 2019
PubMed

Insights

Centralizing neonatal intensive care improved survival but not neurodevelopmental outcomes for infants. Integrating advanced neuromonitoring during neonatal transport is crucial for better neurological outcomes.

Area of Science:

  • Neonatal intensive care
  • Transport medicine
  • Neurocritical care

Background:

  • Centralization of neonatal intensive care has improved survival rates, especially for extremely preterm infants.
  • Morbidity, including neurodevelopmental impairment, has not seen similar improvements.
  • Specialized neonatal transport teams are vital for high-risk neonates when in-utero transfer is not feasible.

Purpose of the Study:

  • To review current inter-hospital transport neuromonitoring practices.
  • To explore the application of new neuromonitoring modalities in neonatal transport.
  • To improve neurodevelopmental outcomes for transported infants.

Main Methods:

  • Review of current literature on neonatal transport and neuromonitoring.
  • Analysis of the impact of transport stressors on neonatal neurodevelopment.
  • Examination of existing and emerging neuromonitoring technologies.

Main Results:

  • Neonatal transport introduces significant hazards including noise, vibration, and temperature fluctuations.
  • Inborn infants demonstrate better neurodevelopmental outcomes than outborn infants, with transport's role unclear.
  • Current neuromonitoring during transport is limited.

Conclusions:

  • Improving neurological outcomes for transported infants requires integrating advanced neuromonitoring into the transport environment.
  • Specialist transport teams face challenges in managing clinical deterioration during transit.
  • Further research is needed to adapt intensive care neuromonitoring tools for the transport setting.

Keywords:
brainneonatal transportneurocritical careneuromonitoring

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