Application of transport ventilator in the inter-hospital transport of critically ill children

YUAN Yuan-Hong, ZHANG Hui, XIAO Zheng-Hui, LU Xiu-Lan, XU Zhi-Yue, ZHANG Xin-Ping, KANG Xia-Yan, ZHAO Xiao-Ping, ZHU Li-Fen

Chinese Journal of Contemporary Pediatrics ›› 2023, Vol. 25 ›› Issue (3) : 284-288.

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Chinese Journal of Contemporary Pediatrics ›› 2023, Vol. 25 ›› Issue (3) : 284-288. DOI: 10.7499/j.issn.1008-8830.2211116
CLINICAL RESEARCH

Application of transport ventilator in the inter-hospital transport of critically ill children

  • YUAN Yuan-Hong, ZHANG Hui, XIAO Zheng-Hui, LU Xiu-Lan, XU Zhi-Yue, ZHANG Xin-Ping, KANG Xia-Yan, ZHAO Xiao-Ping, ZHU Li-Fen
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Abstract

Objective To study the application value of transport ventilator in the inter-hospital transport of critically ill children. Methods The critically ill children in Hunan Children's Hospital who were transported with or without a transport ventilator were included as the observation group (from January 2019 to January 2020; n=122) and the control group (from January 2018 to January 2019; n=120), respectively. The two groups were compared in terms of general data, the changes in heart rate, respiratory rate, and blood oxygen saturation during transport, the incidence rates of adverse events, and outcomes. Results There were no significant differences between the two groups in sex, age, oxygenation index, pediatric critical illness score, course of disease, primary disease, heart rate, respiratory rate, and transcutaneous oxygen saturation before transport (P>0.05). During transport, there were no significant differences between the two groups in the changes in heart rate, respiratory rate, and transcutaneous oxygen saturation (P>0.05). The incidence rates of tracheal catheter detachment, indwelling needle detachment, and sudden cardiac arrest in the observation group were lower than those in the control group during transport, but the difference was not statistically significant (P>0.05). Compared with the control group, the observation group had significantly shorter duration of mechanical ventilation and length of stay in the pediatric intensive care unit and significantly higher transport success rate and cure/improvement rate (P<0.05). Conclusions The application of transport ventilator in the inter-hospital transport can improve the success rate of inter-hospital transport and the prognosis in critically ill children, and therefore, it holds promise for clinical application in the inter-hospital transport of critically ill children.

Key words

Transport ventilator / Inter-hospital transport / Critically ill child

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YUAN Yuan-Hong, ZHANG Hui, XIAO Zheng-Hui, LU Xiu-Lan, XU Zhi-Yue, ZHANG Xin-Ping, KANG Xia-Yan, ZHAO Xiao-Ping, ZHU Li-Fen. Application of transport ventilator in the inter-hospital transport of critically ill children[J]. Chinese Journal of Contemporary Pediatrics. 2023, 25(3): 284-288 https://doi.org/10.7499/j.issn.1008-8830.2211116

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