{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T17:22:47Z","timestamp":1777396967168,"version":"3.51.4"},"reference-count":9,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008,4,1]]},"abstract":"<jats:p>OBJECTIVE. Although nasal continuous positive airway pressure is widely used in neonatal units, its use in neonatal transport is not yet established. Previous reports have been limited to small numbers of primary road transports and larger numbers of return transports while its use in air transportation has not been reported. The aim of this study was to assess the safety and effectiveness of transporting neonates and infants by road or air while treated with nasal continuous positive airway pressure.<\/jats:p><jats:p>METHODS. We conducted a retrospective review of the records of all infants transported between January 1, 2004, and November 1, 2005.<\/jats:p><jats:p>RESULTS. A total of 220 infants were treated with nasal continuous positive airway pressure; of these, 13 infants (6%) were intubated before transport, leaving 207 infants transported on a median nasal continuous positive airway pressure of 7 cm H2O. Thirty infants were transported by fixed or rotary wing aircraft and 190 by road. No infants required intubation or bag and mask ventilation during transport. Twenty-eight infants (13%) required intubation within 24 hours of arrival at the receiving hospital, 4 infants (2%) were intubated &amp;gt;24 hours after arrival, 11 infants (5%) were intubated for surgery, and 164 infants (73%) were never intubated. A total of 111 infants (50%) were preterm and &amp;lt;72 hours old at transport, and 32 infants (15%) were \u226432 weeks' gestational age and &amp;lt;72 hours old at transport. Fraction of inspired oxygen was significantly lower at the end of transport (0.45 vs 0.34).<\/jats:p><jats:p>CONCLUSIONS. Nasal continuous positive airway pressure is effective and has an acceptable safety margin for the road-based transportation of infants with acute respiratory distress. Air transport is feasible but larger studies are required to assess safety.<\/jats:p>","DOI":"10.1542\/peds.2007-0251","type":"journal-article","created":{"date-parts":[[2008,3,18]],"date-time":"2008-03-18T00:26:32Z","timestamp":1205799992000},"page":"e754-e758","source":"Crossref","is-referenced-by-count":30,"title":["Use of Nasal Continuous Positive Airway Pressure During Retrieval of Neonates With Acute Respiratory Distress"],"prefix":"10.1542","volume":"121","author":[{"given":"Philip G.","family":"Murray","sequence":"first","affiliation":[{"name":"Newborn Emergency Transport Service, Royal Women's Hospital, Carlton, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J.","family":"Stewart","sequence":"additional","affiliation":[{"name":"Newborn Emergency Transport Service, Royal Women's Hospital, Carlton, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2008,4,1]]},"reference":[{"key":"2021120902094114800_R1","doi-asserted-by":"crossref","unstructured":"Morley CJ. Continuous distending pressure. Arch Dis Child Fetal Neonatal Ed.\u20081999;81(2):152F\u2013156F","DOI":"10.1136\/fn.81.2.F152"},{"key":"2021120902094114800_R2","doi-asserted-by":"crossref","unstructured":"De Paoli AG, Morley C, Davis PG. Nasal NCPAP for neonates: what do we know in 2003?Arch Dis Child Fetal Neonatal Ed.\u20082003;88(3):F168\u2013F172","DOI":"10.1136\/fn.88.3.F168"},{"key":"2021120902094114800_R3","unstructured":"Donoghue DA. The Report of the Australian and New Zealand Neonatal Network, 2001. Sydney, Australia: Australian and New Zealand Neonatal Network;2003"},{"key":"2021120902094114800_R4","doi-asserted-by":"crossref","unstructured":"Jobe AH, Kramer BW, Moss TJ, et al. Decreased indicators of lung injury with continuous positive airways pressure in preterm lambs. Paediatr Res.\u20082002;52(3):387\u2013392","DOI":"10.1203\/00006450-200209000-00014"},{"key":"2021120902094114800_R5","doi-asserted-by":"crossref","unstructured":"Avery ME, Tooley WH, Keller JB. Is chronic lung disease in low birthweight infants preventable? A survey of eight centres. Pediatrics.\u20081987;79(1):26\u201330","DOI":"10.1542\/peds.79.1.26"},{"key":"2021120902094114800_R6","doi-asserted-by":"crossref","unstructured":"De Klerk AM, De Klerk RK. Nasal continuous positive airway pressure and outcomes of preterm infants. J Paediatr Child Health.\u20082001;37(2):161\u2013167","DOI":"10.1046\/j.1440-1754.2001.00624.x"},{"key":"2021120902094114800_R7","doi-asserted-by":"crossref","unstructured":"Simpson JH, Ahmed I, McLaren J, Skeoch CH. Use of nasal continuous positive airway pressure during neonatal transfer. Arch Dis Child Fetal Neonatal Ed.\u20082004;89(4):F374\u2013F375","DOI":"10.1136\/adc.2003.033159"},{"key":"2021120902094114800_R8","doi-asserted-by":"crossref","unstructured":"Bomont RK, Cheema IU. Use of nasal continuous positive airways pressure during neonatal transfers. Arch Dis Child Fetal Neonatal Ed.\u20082006;91(2):F85\u2013F91","DOI":"10.1136\/adc.2005.078022"},{"key":"2021120902094114800_R9","doi-asserted-by":"crossref","unstructured":"Skeoch CH, Jackson L, Wilson AM, Booth P. Fit to fly: practical challenges in neonatal transfer by air. Arch Dis Child Fetal Neonatal Ed.\u20082005;90(6):F456\u2013F460","DOI":"10.1136\/adc.2004.064949"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/121\/4\/e754\/1122339\/zpe0040800e754.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/121\/4\/e754\/1122339\/zpe0040800e754.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T03:29:21Z","timestamp":1684294161000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/121\/4\/e754\/70796\/Use-of-Nasal-Continuous-Positive-Airway-Pressure"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,4,1]]},"references-count":9,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2008,4,1]]},"published-print":{"date-parts":[[2008,4,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.2007-0251","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"value":"0031-4005","type":"print"},{"value":"1098-4275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,4,1]]}}}