{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T21:25:22Z","timestamp":1745011522412},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2022,6,22]],"date-time":"2022-06-22T00:00:00Z","timestamp":1655856000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,8,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>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 H2O (5\u20137 cm H2O) and at arrival to CHEO was 6 cm H2O (6\u20137 cm H2O). 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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>nCPAP on air transport is a safe and useful method for providing ventilatory support to infants and young children with respiratory distress.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/pch\/pxac020","type":"journal-article","created":{"date-parts":[[2022,6,22]],"date-time":"2022-06-22T17:28:24Z","timestamp":1655918904000},"page":"272-277","source":"Crossref","is-referenced-by-count":4,"title":["Noninvasive ventilation of air transported infants with respiratory distress in the Canadian Arctic"],"prefix":"10.1093","volume":"27","author":[{"given":"Shelden D","family":"Roy","sequence":"first","affiliation":[{"name":"University of Ottawa , Ottawa, Ontario , Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fuad","family":"Alnaji","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Eastern Ontario , Ottawa, Ontario , Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepti N","family":"Reddy","sequence":"additional","affiliation":[{"name":"CHEO Research Institute , Ottawa, Ontario , Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nick J","family":"Barrowman","sequence":"additional","affiliation":[{"name":"CHEO Research Institute , Ottawa, Ontario , Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holden A","family":"Sheffield","sequence":"additional","affiliation":[{"name":"University of Ottawa , Ottawa, Ontario , Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,6,22]]},"reference":[{"key":"2022082215282220900_CIT0001"},{"key":"2022082215282220900_CIT0002","author":"Nunavut Tunngavik Inc"},{"key":"2022082215282220900_CIT0003","first-page":"1847","article-title":"Lower respiratory tract infections in Inuit infants on Baffin Island.","volume":"164","author":"Banerji","year":"2001","journal-title":"CMAJ"},{"key":"2022082215282220900_CIT0004","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1186\/1471-2431-12-190","article-title":"Causes and risk factors for infant mortality in Nunavut, Canada 1999\u20132011.","volume":"12","author":"Collins","year":"2012","journal-title":"BMC Pediatr"},{"key":"2022082215282220900_CIT0005","doi-asserted-by":"crossref","first-page":"e94","DOI":"10.1093\/pch\/pxy088","article-title":"Nasal CPAP on paediatric air transport in the Canadian Arctic: A case series.","volume":"24","author":"Sheffield","year":"2019","journal-title":"Paediatr Child Health"},{"key":"2022082215282220900_CIT0006","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1007\/s00134-013-3129-z","article-title":"Improved clinical and economic outcomes in severe bronchiolitis with pre-emptive nCPAP ventilatory strategy.","volume":"40","author":"Essouri","year":"2014","journal-title":"Intensive Care Med"},{"key":"2022082215282220900_CIT0007","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1097\/PCC.0000000000001781","article-title":"Noninvasive ventilation during pediatric and neonatal critical care transport: A systematic review.","volume":"20","author":"Cheema","year":"2019","journal-title":"Pediatr Crit Care Med"},{"key":"2022082215282220900_CIT0008","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1111\/1742-6723.12778","article-title":"Intensive care unit admissions and ventilation support in infants with bronchiolitis.","volume":"29","author":"Oakley","year":"2017","journal-title":"Emerg Med Australas"},{"key":"2022082215282220900_CIT0009","doi-asserted-by":"crossref","first-page":"e754","DOI":"10.1542\/peds.2007-0251","article-title":"Use of nasal continuous positive airway pressure during retrieval of neonates with acute respiratory distress.","volume":"121","author":"Murray","year":"2008","journal-title":"Pediatrics"},{"key":"2022082215282220900_CIT0010","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1111\/j.1440-1754.2012.02468.x","article-title":"Use of continuous positive airway pressure during stabilisation and retrieval of infants with suspected bronchiolitis.","volume":"48","author":"Fleming","year":"2012","journal-title":"J Paediatr Child Health"},{"key":"2022082215282220900_CIT0011","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1097\/SIH.0000000000000057","article-title":"Pediatric and neonatal intubation training gap analysis: Instruction, assessment, and technology.","volume":"9","author":"Klotz","year":"2014","journal-title":"Simul Healthc"},{"key":"2022082215282220900_CIT0012","first-page":"16","article-title":"Respiratory support for infants with bronchiolitis, a narrative review of the literature.","volume":"30","author":"Franklin","year":"2019","journal-title":"Paediatr Respir Rev"},{"key":"2022082215282220900_CIT0013","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1186\/s13054-018-2080-3","article-title":"FIRST-line support for Assistance in Breathing in Children (FIRST-ABC): A multicentre pilot randomised controlled trial of high-flow nasal cannula therapy versus continuous positive airway pressure in paediatric critical care.","volume":"22","author":"Ramnarayan","year":"2018","journal-title":"Crit Care"},{"key":"2022082215282220900_CIT0014","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1007\/s12519-020-00363-3","article-title":"Noninvasive ventilation for pediatric interfacility transports: A retrospective study.","volume":"16","author":"Holbird","year":"2020","journal-title":"World J Pediatr"},{"key":"2022082215282220900_CIT0015","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1007\/s00134-014-3226-7","article-title":"High-flow nasal cannula (HFNC) support in interhospital transport of critically ill children.","volume":"40","author":"Schlapbach","year":"2014","journal-title":"Intensive Care Med"},{"key":"2022082215282220900_CIT0016","first-page":"1016","article-title":"Oxygen economics: The use of heated high-flow nasal oxygen in air medical transport of the adult patient.","volume":"10","author":"Inkrott","year":"2021","journal-title":"Air Med J"}],"container-title":["Paediatrics &amp; Child 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