Management of 213 newborns required mechanical ventilation during transportation between hospitals

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Author:
XIE Wan-hua(Guangzhou Women and children's Medical Center,Guangzhou Children's Hospital,Guangzhou 510120,China)
ZHOU Wei(Guangzhou Women and children's Medical Center,Guangzhou Children's Hospital,Guangzhou 510120,China)
CHEN Wen-qiong(Guangzhou Women and children's Medical Center,Guangzhou Children's Hospital,Guangzhou 510120,China)
Journal Title:
CHINESE JOURNAL OF PERINATAL MEDICINE
Issue:
Volume 13, Issue 02, 2010
DOI:
10.3760/cma.j.issn.1007-9408.2010.02.006
Key Word:
Respiration,artificial;Infant,newborn;Transportation of patients;Neonatal nursing

Abstract: Objectlve To explore the strategies and results of transportation between hospitals for neonates under mechanical ventilation. Methods From January 2006 to December 2007,medical records of 213 newborn infants under meghanical ventilation transported to Guangzhou Women and Children's Medical Center,Guangzhou Children's Hospiml from other hospitals were reviewed.Emergent events,complications and relative managements and prognosis during the transportation were analyzed. Results No patients died during the transportation,giving a rate of Success of 100%.Before transportation,11 babies received sedatives and 157 were transported with indwelling gastric tube.During transportation,three cases required temporary parking for some emergency,and relieved after proper management.One case was due to dislocation of the tracheal tube,one due to cardiac arrest and one due to the tracheal tube block.After transportation,195 patients(91.6%) were fully recovered,11(5.2%) failed to receive any treatment,7(3.3%) died. Conclusiom Skilled doctors and nurses,full preparation before transportation and close monitoring and prompt and proper management during the transportation are essential for successful transportation of newborns under mechanical ventilation.

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