title: Noninvasive Respiratory Support During Transportation.
abstract: To minimize ventilator-associated lung injury in neonates, use of noninvasive (NIV) respiratory support has markedly increased over the past decade, especially in neonates younger than 28-weeks gestational age and 1250 g. Previously, neonates with respiratory failure who required anything greater than an oxyhood or low-flow nasal cannula were intubated for transport. This increased use has required transport teams to develop or incorporate a new set of support tools to minimize lung injury. This article reviews the various modes of NIV used during neonatal transport, important patient selection criteria, appropriate assessment, and the associated risks and benefits.
authors.affiliation: Division of Neonatology, Newborn ICU, Neonatal Transport, UC Davis Children's Hospital, 2516 Stockton Boulevard, Sacramento, CA 95817, USA. Electronic address: dnull@ucdavis.edu.
authors.forename: Donald
authors.initials: D
authors.lastname: Null
authors.affiliation: Department of Medical Affairs, Mallinckrodt Pharmaceuticals, Perryville III Corporate Park, 53 Frontage Road, 3rd Floor, PO Box 9001, Hampton, NJ 08827-9001, USA.
authors.forename: Kevin
authors.initials: K
authors.lastname: Crezee
authors.affiliation: Intermountain Life Flight Children's Services, 250 North 2370 West, Salt Lake City, UT 84116, USA.
authors.forename: Tamara
authors.initials: T
authors.lastname: Bleak
mesh_terms: D000072601:Cannula; D045422:Continuous Positive Airway Pressure / Q000379:methods*; D005865:Gestational Age; D006612:High-Frequency Ventilation / Q000379:methods*; D006801:Humans; D062071:Infant, Extremely Premature; D007231:Infant, Newborn; D007234:Infant, Premature; D007385:Intermittent Positive-Pressure Ventilation / Q000379:methods*; D063087:Noninvasive Ventilation / Q000379:methods*; D012127:Respiratory Distress Syndrome, Newborn / Q000628:therapy*; D014187:Transportation of Patients / Q000379:methods*
keywords: CPAP; High-flow nasal cannula; High-frequency nasal ventilation; Nasal intermittent positive-pressure ventilation; Neonatal; Noninvasive; Transport