Noninvasive ventilation of air transported infants with respiratory distress in the Canadian Arctic
OBJECTIVES: Since 2016, use of nasal continuous positive airway pressure (nCPAP) in Nunavut for air transport in select patients has become common practice. This study examines the outcomes of patients transferred by air from the Qikiqtaaluk Region during air transport. We examined intubation rates,...
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ftpubmed:oai:pubmedcentral.nih.gov:9394632 2023-07-16T03:57:01+02:00 Noninvasive ventilation of air transported infants with respiratory distress in the Canadian Arctic Roy, Shelden D Alnaji, Fuad Reddy, Deepti N Barrowman, Nick J Sheffield, Holden A 2022-06-22 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9394632/ http://www.ncbi.nlm.nih.gov/pubmed/36016594 https://doi.org/10.1093/pch/pxac020 en eng Oxford University Press http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9394632/ http://www.ncbi.nlm.nih.gov/pubmed/36016594 http://dx.doi.org/10.1093/pch/pxac020 © The Author(s) 2022. Published by Oxford University Press on behalf of the Canadian Paediatric Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com https://academic.oup.com/pages/standard-publication-reuse-rightsThis article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/pages/standard-publication-reuse-rights) Paediatr Child Health Original Articles Text 2022 ftpubmed https://doi.org/10.1093/pch/pxac020 2023-06-25T00:39:38Z OBJECTIVES: Since 2016, use of nasal continuous positive airway pressure (nCPAP) in Nunavut for air transport in select patients has become common practice. This study examines the outcomes of patients transferred by air from the Qikiqtaaluk Region during air transport. We examined intubation rates, adverse events during transfer, and respiratory parameters at departure and upon arrival. METHODS: This was a retrospective review from September 2016 to December 2019 including patients under 2 years of age transferred by air on nCPAP from the Qikiqtaaluk Region of Nunavut. RESULTS: Data were collected for 40 transfers involving 34 unique patients. Six transfers were from remote communities in Nunavut to Iqaluit, and 33 transfers were from Iqaluit to CHEO. The primary outcome measure was whether the patient required intubation during transport, or urgent intubation upon arrival to CHEO. The median nCPAP setting during transport was 6 cm H(2)O (5–7 cm H(2)O) and at arrival to CHEO was 6 cm H(2)O (6–7 cm H(2)O). Six of the 33 (18.2%) patients required intubation during their hospital stay and five (15.2%) in a controlled ICU setting. There were no discernible adverse events that occurred during transport for 28 patients (84.5%). Four patients (12.1%) required a brief period of bag-mask ventilation and one patient had an episode of bradycardia. CONCLUSIONS: nCPAP on air transport is a safe and useful method for providing ventilatory support to infants and young children with respiratory distress. Text Arctic Iqaluit Nunavut Qikiqtaaluk PubMed Central (PMC) Arctic Nunavut Paediatrics & Child Health 27 5 272 277 |
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Original Articles Roy, Shelden D Alnaji, Fuad Reddy, Deepti N Barrowman, Nick J Sheffield, Holden A Noninvasive ventilation of air transported infants with respiratory distress in the Canadian Arctic |
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Original Articles |
description |
OBJECTIVES: Since 2016, use of nasal continuous positive airway pressure (nCPAP) in Nunavut for air transport in select patients has become common practice. This study examines the outcomes of patients transferred by air from the Qikiqtaaluk Region during air transport. We examined intubation rates, adverse events during transfer, and respiratory parameters at departure and upon arrival. METHODS: This was a retrospective review from September 2016 to December 2019 including patients under 2 years of age transferred by air on nCPAP from the Qikiqtaaluk Region of Nunavut. RESULTS: Data were collected for 40 transfers involving 34 unique patients. Six transfers were from remote communities in Nunavut to Iqaluit, and 33 transfers were from Iqaluit to CHEO. The primary outcome measure was whether the patient required intubation during transport, or urgent intubation upon arrival to CHEO. The median nCPAP setting during transport was 6 cm H(2)O (5–7 cm H(2)O) and at arrival to CHEO was 6 cm H(2)O (6–7 cm H(2)O). Six of the 33 (18.2%) patients required intubation during their hospital stay and five (15.2%) in a controlled ICU setting. There were no discernible adverse events that occurred during transport for 28 patients (84.5%). Four patients (12.1%) required a brief period of bag-mask ventilation and one patient had an episode of bradycardia. CONCLUSIONS: nCPAP on air transport is a safe and useful method for providing ventilatory support to infants and young children with respiratory distress. |
format |
Text |
author |
Roy, Shelden D Alnaji, Fuad Reddy, Deepti N Barrowman, Nick J Sheffield, Holden A |
author_facet |
Roy, Shelden D Alnaji, Fuad Reddy, Deepti N Barrowman, Nick J Sheffield, Holden A |
author_sort |
Roy, Shelden D |
title |
Noninvasive ventilation of air transported infants with respiratory distress in the Canadian Arctic |
title_short |
Noninvasive ventilation of air transported infants with respiratory distress in the Canadian Arctic |
title_full |
Noninvasive ventilation of air transported infants with respiratory distress in the Canadian Arctic |
title_fullStr |
Noninvasive ventilation of air transported infants with respiratory distress in the Canadian Arctic |
title_full_unstemmed |
Noninvasive ventilation of air transported infants with respiratory distress in the Canadian Arctic |
title_sort |
noninvasive ventilation of air transported infants with respiratory distress in the canadian arctic |
publisher |
Oxford University Press |
publishDate |
2022 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9394632/ http://www.ncbi.nlm.nih.gov/pubmed/36016594 https://doi.org/10.1093/pch/pxac020 |
geographic |
Arctic Nunavut |
geographic_facet |
Arctic Nunavut |
genre |
Arctic Iqaluit Nunavut Qikiqtaaluk |
genre_facet |
Arctic Iqaluit Nunavut Qikiqtaaluk |
op_source |
Paediatr Child Health |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9394632/ http://www.ncbi.nlm.nih.gov/pubmed/36016594 http://dx.doi.org/10.1093/pch/pxac020 |
op_rights |
© The Author(s) 2022. Published by Oxford University Press on behalf of the Canadian Paediatric Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com https://academic.oup.com/pages/standard-publication-reuse-rightsThis article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/pages/standard-publication-reuse-rights) |
op_doi |
https://doi.org/10.1093/pch/pxac020 |
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Paediatrics & Child Health |
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27 |
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5 |
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272 |
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277 |
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1771543544506351616 |