title: Transport of very preterm infants with respiratory distress syndrome using nasal continuous positive airway pressure.
abstract: OBJECTIVE
  To audit clinical practice during transport of very preterm infants (<32 weeks) with acute respiratory distress syndrome (RDS) receiving nasal continuous positive airway pressure (NCPAP).
  
  
  METHODS
  Retrospective cohort study.
  
  
  RESULTS
  Twenty-seven infants were receiving NCPAP before transport team's arrival, and 23 were commenced on NCPAP after team's arrival. Six infants (12%) failed NCPAP before transfer, 2 infants (4.5%) failed NCPAP less than 24 hours, and 5 infants (11.3%) failed more than 24 hours - 7 days following admission. None died or developed pneumothorax during, or 7 days after admission. We did not observe NCPAP failure during transfer. There was a statistically significant difference between the NCPAP success and NCPAP failure groups for FiO2 at admission (p < 0.05), and the duration of NCPAP (p < 0.05).
  
  
  CONCLUSIONS
  NCPAP is a potentially safe and effective mode of respiratory support for very preterm infants during ground, and air transports.
authors.affiliation: Neonatal Intensive Care Unit, Westmead Hospital, Westmead, NSW, Australia The Children's Hospital, Westmead Clinical School, The University of Sydney, Westmead, NSW, Australia Newborn and Pediatric Emergency Transport Service (NETS), NSW, Australia.
authors.forename: P
authors.initials: P
authors.lastname: Jani
authors.affiliation: Neonatal Intensive Care Unit, Westmead Hospital, Westmead, NSW, Australia Newborn and Pediatric Emergency Transport Service (NETS), NSW, Australia.
authors.forename: M
authors.initials: M
authors.lastname: Luig
authors.affiliation: Neonatal Intensive Care Unit, Westmead Hospital, Westmead, NSW, Australia Newborn and Pediatric Emergency Transport Service (NETS), NSW, Australia.
authors.forename: M
authors.initials: M
authors.lastname: Wall
authors.affiliation: Neonatal Intensive Care Unit, Westmead Hospital, Westmead, NSW, Australia Newborn and Pediatric Emergency Transport Service (NETS), NSW, Australia.
authors.forename: A
authors.initials: A
authors.lastname: Berry
mesh_terms: D015331:Cohort Studies; D045422:Continuous Positive Airway Pressure; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D008485:Medical Audit; D012127:Respiratory Distress Syndrome, Newborn / Q000628:therapy*; D012189:Retrospective Studies; D014187:Transportation of Patients / Q000379:methods*; D016896:Treatment Outcome
keywords: Infant; continuous positive airway pressure; emergency medical services; respiratory distress syndrome