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"neonatal transport"

Muhydeen Abiodun Abdulraheem, Olukemi Oluwatoyin Tongo, Adebola Emmanuel Orimadegun, Olukayode Felix Akinbami
INTRODUCTION: Neonatal transport involves moving sick neonates in optimal conditions to ensure good outcomes. It is well organized in most developed countries but receives little attention in developing countries where the highest burden of neonatal mortality exists and a large number of newborns require referrals daily for better medical care. This study sought to evaluate the modes of transport, pre- and intra-transport care of neonates referred to the University College Hospital (UCH), Ibadan, Nigeria...
2016: Pan African Medical Journal
Tara Follett, Sara Calderon-Crossman, Denise Clarke, Marcia Ergezinger, Christene Evanochko, Krystal Johnson, Natalie Mercy, Barbara Taylor
BACKGROUND: A level 1 community hospital with a labor, delivery, recovery, and postpartum (LDRP) unit delivering over 2800 babies per year was operating without dedicated neonatal resuscitation and stabilization support. PURPOSE: With lack of funding and space to provide an onsite level 2 neonatal intensive care unit (NICU), a position was created to provide neonatal nurse practitioner (NNP) coverage to support the LDRP unit. METHOD: The article describes the innovative solution of having an NNP team rotate from a regional neonatal intensive care program to a busy community LDRP unit...
October 4, 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
S de la Mata, M Escobar, M Cabrerizo, M Gómez, R González, J López-Herce Cid
OBJECTIVE: To study the organization of inter-hospital transport of pediatric and neonatal patients in Spain, Portugal and Latin America. DESIGN: An observational study was performed. An on-line survey was sent by email including questions about characteristics of national, regional and local health transport systems, vehicles, material, and composition of the transport team and their training. SETTING: Hospital pediatric healthcare professionals treating children in Spain, Portugal and Latin America RESULTS: A total of 117 surveys from 15 countries were analyzed...
September 30, 2016: Medicina Intensiva
V P Akula, J B Gould, P Kan, L Bollman, J Profit, H C Lee
OBJECTIVE: To describe the current scope of neonatal inter-facility transports. STUDY DESIGN: California databases were used to characterize infants transported in the first week after birth from 2009 to 2012. RESULTS: Transport of the 22 550 neonates was classified as emergent 9383 (41.6%), urgent 8844 (39.2%), scheduled 2082 (9.2%) and other 85 (0.4%). In addition, 2152 (9.5%) were initiated for delivery attendance. Most transports originated from hospitals without a neonatal intensive care unit (68%), with the majority transferred to regional centers (66%)...
December 2016: Journal of Perinatology: Official Journal of the California Perinatal Association
Tiffany D Stafford, Joseph L Hagan, Curtis G Sitler, Caraciolo J Fernandes, Jeffrey R Kaiser
Perinatal hypoxic ischemic encephalopathy (HIE) can lead to severe neurodevelopmental outcome and death. Therapeutic hypothermia is neuroprotective for infants with moderate-to-severe HIE. However, therapeutic hypothermia is only offered at high-level regional neonatal intensive care units (NICUs), necessitating the need to transport sick infants to referral centers. The goal of this study was to evaluate whether active cooling on transport is more effective than passive cooling in achieving temperatures in the treatment target range (33°C-34°C) on arrival to the Texas Children's Hospital (TCH) NICU...
September 27, 2016: Therapeutic Hypothermia and Temperature Management
Julien Frédéric Baleine, Patricia Fournier-Favre, Agnès Fabre
Neonatal transport is necessary where a neonate is transferred between two care units. It provides all the skills of a dedicated team, representing a real mobile neonatal intensive care unit. Informing and involving the families is essential during this transport, which can be a source of stress for the child and its family.
September 2016: Soins. Pédiatrie, Puériculture
Beth C Diehl, Karen Frank
BACKGROUND: The Maryland Regional Neonatal Transport Program performs 800 transports annually. Historically transports utilized a neonatal nurse practitioner or neonatal transport nurse and 2 medics. A regulatory ruling at the state level mandated change in team composition. This institution elected to educate neonatal intensive care unit (NICU) staff nurses to become the providers for transports and to respond to deliveries requiring the NICU team. These nurses became the transport-delivery room nurse...
August 16, 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
Carlien Van Heerden, Carin Maree, Elsie S Janse van Rensburg
BACKGROUND: Many neonatal deaths can be prevented globally through effective resuscitation. South Africa (SA) committed towards attaining the Millennium Development Goal 4 (MDG4) set by the World Health Organization (WHO). However, SA's district hospitals have the highest early neonatal mortality rates. Modifiable and avoidable causes associated with patient-related, administrative and health care provider factors contribute to neonatal mortality. A quality improvement initiative in neonatal resuscitation could contribute towards decreasing neonatal mortality, thereby contributing towards the attainment of the MDG4...
April 22, 2016: African Journal of Primary Health Care & Family Medicine
G Jesse Bender, Karen Kennally
OBJECTIVE: Post-war Kosovar health care systems have reduced gaps in maternal and newborn health care. Coordinated neonatal transport programs may further improve survival and morbidities. METHODS: Transport care paradigms were tested using in situ (Kosovo) and ex situ (the United States) mobile immersive simulation. Patient demographics and outcomes were measured at the tertiary referral center. RESULTS: Four paired physician and nurse transport teams performed 7 simulated interfacility transports across Kosovo...
May 2016: Air Medical Journal
Jinfeng Liu, Zhenguang Li, Qiuli Zhang
Neonatal transport is a highly specialized medical service that shifts critically ill neonates between hospitals for on-going care. In other words, it is an extension of the Neonatal Intensive Care Unit (NICU), which provides intensive care to critical ill neonates during transport. Furthermore, pain assessment and management is a crucial element during neonatal transport. However despite significant advances over the last 20 years in relation to our understanding of pain mechanisms in the neonates, the immediate long and short term consequences of neonatal pain along with proliferation of pain assessment measures, there continues to be reports of neonates in a variety of settings suffering needlessly from acute, prolonged, persistent and chronic pain...
May 20, 2016: Minerva Pediatrica
Nick Evans
SPECIALIST NEONATAL transport services are essential parts of care provision for sick and premature babies. But, according to a report from the charity Bliss, such transfers are too often 'understaffed, under-resourced and part time'.
May 9, 2016: Nursing Children and Young People
(no author information available yet)
A review of 17 regional neonatal transport services has shown that they are 'understaffed, under-resourced and part time', but that these problems are not related to the dedication of the nurses and doctors who work in them.
May 9, 2016: Nursing Children and Young People
Takehiko Hiroma, Hiroyuki Ichiba, Kazuko Wada, Jun Shiraishi, Hiroshi Sugiura, Tomohiko Nakamura
Rapid resuscitation and appropriate transportation of sick infants can greatly improve infant survival and neurological prognosis. To gain an understanding of the status of neonatal transport in Japan, we conducted a survey of neonatal transportation capabilities at perinatal medical centers across the country. Survey content included the number of neonatal transportation cases and the method of transportation. Twenty percent of infants admitted to neonatal intensive care units were transported to the medical centers from other institutions...
April 2016: Pediatrics International: Official Journal of the Japan Pediatric Society
Calum T Roberts, Michael J Stewart, Susan E Jacobs
BACKGROUND: Therapeutic hypothermia is an effective treatment for moderate or severe hypoxic-ischaemic encephalopathy (HIE), with maximal neuroprotective benefit when initiated soon after birth. Early initiation of therapeutic hypothermia in infants with HIE born in geographically distant settings is challenging. OBJECTIVE: To audit temperature control in infants with HIE treated with hypothermia during neonatal transport in Victoria, Australia. METHODS: A retrospective database review from September 1, 2008 to August 31, 2012 compared temperatures of transported outborn infants with HIE treated with hypothermia initiated by the referring non-tertiary neonatal unit, with hypothermia initiated by the transport team...
2016: Neonatology
Ewa Gulczyńska, Janusz Gadzinowski
The first decade of the 21st century saw the worldwide spread of therapeutic hypothermia as a beneficial therapeutic procedure in neonates with hypoxic-ischemic encephalopathy. New guidelines for the resuscitation of newborns confirm that therapeutic hypothermia should be the standard method of treatment offered to neonates with acute perinatal hypoxia. The quality of care which an asphyxiated newborn receives during and immediately after resuscitation, as well as the mode of preparation for transport, can have a significant impact on improving the outcome, but it can also result in the deterioration of neonates treated with hypothermia...
July 2015: Developmental Period Medicine
Jorge Luis Alvarado-Socarras, Alvaro Javier Idrovo, Anderson Bermon
OBJECTIVE: To evaluate the differences in hospital survival between modes of transport to a tertiary center in Colombia for critically ill neonates. METHODS: Observational study of seriously ill neonates transported via air or ground, who required medical care at a center providing highly complex services. Data on sociodemographic, clinical, the Transport Risk Index of Physiologic Stability (TRIPS), and mode of transport were collected. Patients were described, followed by a bivariate analysis with condition (live or dead) at time of discharge as the dependent variable...
May 2016: Jornal de Pediatria
Carlo Bellini, Francesco M Risso, Andrea Sannia, Francesco Campone, Cristina Traggiai, Luca A Ramenghi
Our article focuses on a retrospective analysis of the occurrence of accidents relating to 20 years of activity of Neonatal Emergency Transport Service (NETS) in Liguria region, Italy. The objective of this study is to determine the vehicle accident rate for a specialized emergency medical services-NETS transport system between 1995 and 2015. We reviewed 5035 medical records related to the activity of our NETS from its beginning, in February 1995 to June 2015. We identified the occurrence of three road accidents (rate ∼1 : 1600 transports; 1 : 170 000 driven km), no helicopter accidents and only one technical problem during helicopter use; our service was not involved in any crashes resulting in injury...
March 2, 2016: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
Alex Man Lai Wu, Liana Dedina, Pooja Dalvi, Mingdong Yang, John Leon-Cheon, Brian Earl, Patricia A Harper, Shinya Ito
While it is well recognized that riboflavin accumulates in breast milk as an essential vitamin for neonates, transport mechanisms for its milk excretion are not well characterized. The multidrug efflux transporter ABCG2 in the apical membrane of milk-producing mammary epithelial cells (MECs) is involved with riboflavin excretion. However, it is not clear whether MECs possess other riboflavin transport systems, which may facilitate its basolateral uptake into MECs. We report here that transcripts encoding the second (SLC52A2) and third (SLC52A3) member of the recently discovered family of SLC52A riboflavin uptake transporters are expressed in milk fat globules from human breast milk...
April 1, 2016: American Journal of Physiology. Regulatory, Integrative and Comparative Physiology
Alvin S M Chang, Andrew Berry, Lisa J Jones, Subramaniam Sivasangari
BACKGROUND: Maternal antenatal transfers provide better neonatal outcomes. However, there will inevitably be some infants who require acute transport to a neonatal intensive care unit (NICU). Because of this, many institutions develop services to provide neonatal transport by specially trained health personnel. However, few studies report on relevant clinical outcomes in infants requiring transport to NICU. OBJECTIVES: To determine the effects of specialist transport teams compared with non-specialist transport teams on the risk of neonatal mortality and morbidity among high-risk newborn infants requiring transport to neonatal intensive care...
2015: Cochrane Database of Systematic Reviews
Deepak Rathod, B Adhisivam, B Vishnu Bhat
OBJECTIVE: To evaluate an objective score to assess the condition of sick neonates at arrival and its use in predicting mortality. METHODS: This descriptive study included 303 extramural neonates who were evaluated using a simple clinical score - Sick neonate score (SNS). All neonates were followed up till discharge or expiry. The score and its individual components were correlated with outcome. A receiver operating curve was plotted to determine the cutoff value for SNS in predicting mortality...
February 2016: Indian Journal of Pediatrics
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