Neonatal Transport Team Research Articles

Resuscitation, stabilization, and transport in perinatology.

Regionalization of perinatal care and the efficient provision of effective and safe interhospital transport of premature and critically ill newborn infants have evolved over two decades. Antenatal transfer of the high-risk fetus to a tertiary perinatal center is optimal but not always achievable. Neonatal transport is a complex, highly organized, dynamic process that is still evolving. Resuscitation and stabilization, supported by the tertiary perinatal care center, commence within the environment of the community hospital. Current developments improving communication with community physicians and the availability of outreach education programs assist these processes. Transport remains a sophisticated, highly technological procedure that requires extremely skilled personnel. The application of new ventilatory techniques and other strategies may enable the safer transport of critically ill newborn infants. Regionalization of perinatal care has been achieved in many areas, but its viability is threatened by the current competitive health care environment. The neonatal transport team is likely to be the most potent stimulus for the development of the "perinatal partnership" during the current decade.

Pharmacy support of a provincial neonatal transport team.

Pharmacy support of a provincial neonatal transport team.

Clinical evaluation of the neonatal transport team

Articles| September 01 1984 Clinical evaluation of the neonatal transport team RA Budd; RA Budd Search for other works by this author on: This Site PubMed Google Scholar JM Donlen JM Donlen Search for other works by this author on: This Site PubMed Google Scholar Crit Care Nurse (1984) 4 (5): 24–28. https://doi.org/10.4037/ccn1984.4.5.24 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Tools Icon Tools Cite Icon Cite Get Permissions Citation RA Budd, JM Donlen; Clinical evaluation of the neonatal transport team. Crit Care Nurse 1 September 1984; 4 (5): 24–28. doi: https://doi.org/10.4037/ccn1984.4.5.24 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentCritical Care Nurse Search Advanced Search You do not currently have access to this content.

Effectiveness of the neonatal transport tea

This study was performed to determine the effectiveness of a hospital-based transport team in lowering mortality in newborns. The medical records of 603 outborn infants weighing from 500 to 2500 g and having primary respiratory disorders were reviewed. The infants were admitted to 1 of 3 regional neonatal centers between January 1, 1977 and September 30, 1980. The 2 centers without transport teams admitted 304 outborn infants, of whom 62 (20%) expired by 120 h of age. The center with a transport team admitted 184 team-transported infants and 115 nonteam-transported infants, of whom 38 (13%) expired by 120 h of age. Outborn infants admitted to the hospitals without a neonatal transport team had a 60% (p less than 0.01) greater mortality compared to those admitted to the hospital with a transport team. At the onset of intensive care, the babies transported to the nonteam hospitals had a greater incidence of hypothermia and acidosis which may be related to their increased mortality. We conclude that hospitals without the services of a neonatal transport team may have significantly more deaths among low birth weight infants with respiratory disease than comparable hospitals with neonatal transport teams.

Control of Oxygenation during the Transport of Sick Neonates

A safe neonatal transport system is an essential component in the regionalization of perinatal care. Despite efforts to provide continuous intensive care to sick infants during transport,1-5 several studies have revealed an increased morbidity and mortality among infants transported to newborn intensive care units (NICU) compared with those infants born at the NICU.6,7 There is little information available about the adequacy of monitoring and maintaining oxygenation and acid-base status during infant transport. In a preliminary study we examined the ability of a neonatal transport team to maintain an infant's Pao2 (46 to 100 torr), pH (7.25 to 7.55), and Paco2 (20 to 50 torr) in the "physiologic" range during transport.