Abstract
Car safety seat use has increased because of child restraint legislation in all 50 states and educational efforts by medical professionals. Not all children, however, can fit into commercially available car seats, and some modification is necessary to accommodate these children with special needs.1 Safe transportation is a problem faced by physicians and parents with increasing frequency as more children with special problems are discharged to home: one such example is the child with mechanically assisted ventilation. We have recently determined that these children who weigh less than 18.2 kg (40lb) can be transported properly and safely in commercially available car seats while the ventilator system remains attached to the child and in operation.
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