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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

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Noninvasive ventilation for pediatric interfacility transports: a retrospective study

Samantha Holbird1, Tanya Holt2, Adam Shaw2

  • 1College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.

World Journal of Pediatrics : WJP
|May 15, 2020
PubMed

Insights

Pediatric patients needing respiratory support during interfacility transport (IFT) often receive non-invasive ventilation (NIV) like CPAP/BiPAP or HFNC. These therapies are safe and effective, even during long transports, without requiring intubation.

Area of Science:

  • Pediatric critical care medicine
  • Respiratory therapy
  • Emergency medicine

Background:

  • Characterizing pediatric patients requiring respiratory support during interfacility transport (IFT).
  • Evaluating the use of continuous positive airway pressure (CPAP), bilevel positive airway pressure (BiPAP), and high-flow nasal cannula (HFNC) in pediatric IFT.

Purpose of the Study:

  • To analyze the characteristics and outcomes of pediatric patients receiving CPAP/BiPAP or HFNC during IFT.
  • To assess the safety and efficacy of non-invasive ventilation (NIV) in this patient population.

Main Methods:

  • Retrospective study of pediatric patients (28 days to <17 years) undergoing IFT between January 2017 and December 2018.
  • Data collected from a provincial pediatric transport team registry at a tertiary hospital pediatric intensive care unit.

Main Results:

  • 118 patients (26.7%) received CPAP/BiPAP or HFNC support during IFT.
  • Bronchiolitis was the most common respiratory diagnosis (46%).
  • Patients received respiratory support within 31.4 minutes of team arrival and did not require intubation during transport (mean 163 minutes).

Conclusions:

  • NIV (CPAP/BiPAP, HFNC) is a viable and safe option for pediatric patients during IFT.
  • This approach can support patients in remote areas with long transport times, preventing the need for intubation.
  • Findings are valuable for programs serving large geographical regions.
Abstract

Keywords:
ChildrenCritical illnessIntubationNoninvasive ventilationTransportation of patients

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