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- Samantha Holbird, Tanya Holt, Adam Shaw, and Gregory Hansen.
- College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
- World J Pediatr. 2020 Aug 1; 16 (4): 422-425.
BackgroundTo characterize pediatric patients supported with continuous positive airway pressure and bilevel positive airway pressure (CPAP/BiPAP) or high-flow nasal cannula (HFNC) during interfacility transport (IFT).MethodsA retrospective study with a provincial pediatric transport team from a tertiary hospital pediatric intensive care unit. Pediatric patients aged 28 days to < 17 years, who required IFT between January 2017 and December 2018, were identified through a transport registry and were included in the study.ResultsA total of 118 (26.7%) patients received CPAP/BIPAP or HFNC support for IFT. The most common respiratory diagnosis was bronchiolitis (46%). These patients were placed on respiratory support, 31.4 minutes after the transport team's arrival. None required intubation during their IFT, despite mean transport times of 163 minutes.ConclusionsThis study may provide important information for programs with large catchment areas, in which large distances and transport times should not be barriers to NIV implementation.
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