{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:28:12Z","timestamp":1747182492312,"version":"3.40.5"},"reference-count":18,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,4,14]],"date-time":"2021-04-14T00:00:00Z","timestamp":1618358400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The purpose of the present study was to investigate the use of respiratory support via continuous positive airway pressure (CPAP) and non\u2010invasive ventilation (NIV) in a medical retrieval service in Queensland, Australia, with reference to transport considerations and patient safety.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this unblinded retrospective case series over a 13\u2010month period, a clinical database was reviewed for the use of CPAP\/NIV. Retrieval metrics as well as clinical data were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 128 patients were transferred either by rotary (80%) or fixed wing (20%). The median transport time was 65\u2009min. The median total mission time was 3.7\u2009h. Fifty\u2010two percent of patients were female. The median age was 69\u2009years and 93% had a background of cardiorespiratory disease. Sixty\u2010five percent of patients were receiving CPAP\/NIV before arrival of the retrieval team. The main diagnoses were respiratory failure (29.7%), acute pulmonary oedema (26.6%) and chronic obstructive pulmonary disease (25.8%). There were no incidences of pneumothorax, intubation in transit, vomiting, desaturation, hypotension, cardiac arrest or death. In two cases NIV was abandoned due to mask intolerance and in one case there was a decrease in Glasgow Coma Scale by 2. In no cases was there a detrimental outcome for the patient.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The use of NIV and CPAP appears to have a low\u2010risk profile in aeromedical retrieval even for prolonged periods of time in an adult population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.13779","type":"journal-article","created":{"date-parts":[[2021,4,15]],"date-time":"2021-04-15T07:18:05Z","timestamp":1618471085000},"page":"1001-1005","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Use of continuous positive airway pressure and non\u2010invasive ventilation for respiratory failure in an Australian aeromedical retrieval service: A retrospective case series"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1748-2582","authenticated-orcid":false,"given":"Martin","family":"Weller","sequence":"first","affiliation":[{"name":"Department of Clinical Operations LifeFlight Australia  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4011-1867","authenticated-orcid":false,"given":"Clinton","family":"Gibbs","sequence":"additional","affiliation":[{"name":"Office of the Clinical Director (Northern Operations) Retrieval Services Queensland  Townsville Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0154-685X","authenticated-orcid":false,"given":"Richard","family":"Pellatt","sequence":"additional","affiliation":[{"name":"Department of Clinical Operations LifeFlight Australia  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allan","family":"MacKillop","sequence":"additional","affiliation":[{"name":"Department of Clinical Operations LifeFlight Australia  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,4,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD005351.pub3"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004104.pub3"},{"key":"e_1_2_9_4_1","first-page":"1216","article-title":"CPAP and Bi\u2010level PAP therapy: new and established roles","volume":"55","author":"Antonescu\u2010Turcu A","year":"2010","journal-title":"Respir. Care"},{"key":"e_1_2_9_5_1","first-page":"102","article-title":"The physiologic effects of noninvasive ventilation","volume":"54","author":"Kallet RH","year":"2009","journal-title":"Respir. Care"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/10903127.2012.749967"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12466"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2013.11.013"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-014-0069-8"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3310\/hta19420"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpem.2013.07.001"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cacc.2010.07.019"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-991X(97)90020-1"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.13405"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amj.2012.10.016"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amj.2015.02.008"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2015-205377"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02323-0"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/emj.20.1.54"}],"container-title":["Emergency Medicine Australasia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.13779","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1742-6723.13779","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.13779","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T17:50:26Z","timestamp":1693245026000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1742-6723.13779"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,14]]},"references-count":18,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1111\/1742-6723.13779"],"URL":"https:\/\/doi.org\/10.1111\/1742-6723.13779","archive":["Portico"],"relation":{},"ISSN":["1742-6731","1742-6723"],"issn-type":[{"type":"print","value":"1742-6731"},{"type":"electronic","value":"1742-6723"}],"subject":[],"published":{"date-parts":[[2021,4,14]]},"assertion":[{"value":"2020-08-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-04-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}