新生儿航空运输的生理影响：文献综述

Q3 Nursing

Air Medical Journal Pub Date : 2025-01-01 DOI:10.1016/j.amj.2024.10.003

Ian Braithwaite RN(CH), BEng, MSc, Cath Harrison BMedSci, BM, BS, DTM&H, FRCPCH

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引用次数: 0

摘要

目的探讨新生儿空运是否会对患者产生不良生理影响。方法采用文献检索法，包括描述地面和空中运输的文章。合格的研究必须包括患者的结果和/或对旅程的反应，以便比较两组之间新生儿运输的生理影响。结果搜索产生了13项符合条件的研究。6项为前瞻性观察队列研究，其余为回顾性研究。在评估结果时，研究使用了生理稳定性评分、脑室内出血的发生率和严重程度、治疗过程中临床干预的类型和频率或特定的临床参数。其中三项研究试图通过调查所经历的物理力的变化来了解运输的生理影响。结论目前公布的证据表明，在考虑患者稳定性和预后时，一种运输方式优于另一种运输方式。新生儿固定翼或直升机运输对患者的生理挑战并不比公路运输更大，即使是经常运送高危人群（极度早产，在生命的最初几个小时内）患者的团队也是如此。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The Physiological Impact of Neonatal Air Transport: A Review of The Literature

Objective

This review aims to enhance our understanding around whether neonatal air transport has an adverse physiological impact on patients.

Methods

A literature search included articles describing both ground and air transport. Eligible studies had to include patient outcome and/or response to the journey in such a way that the physiological impact of neonatal transport could be compared between the 2 groups.

Results

The search produced 13 eligible studies. Six were prospective observational cohort studies, and the remainder were retrospective. When assessing outcome, studies used a physiological stability score, the rate and severity of intraventricular hemorrhage, the type and frequency of clinical interventions during the journey, or a specific clinical parameter. Three of the studies sought to understand the physiological impact of transport by investigating the variation in the physical forces experienced.

Conclusion

The current published evidence does not suggest one mode of transport is preferable to another when considering patient stability and outcome. Neonatal fixed wing or helicopter transport has not been shown to be more physiologically challenging for the patient than road transport, even by teams who are regularly flying patients in the highest-risk groups (extremely preterm, in the first hours of life).

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来源期刊

Air Medical Journal Nursing-Emergency Nursing

CiteScore

1.20

自引率

0.00%

发文量

112

审稿时长

69 days

期刊介绍： Air Medical Journal is the official journal of the five leading air medical transport associations in the United States. AMJ is the premier provider of information for the medical transport industry, addressing the unique concerns of medical transport physicians, nurses, pilots, paramedics, emergency medical technicians, communication specialists, and program administrators. The journal contains practical how-to articles, debates on controversial industry issues, legislative updates, case studies, and peer-reviewed original research articles covering all aspects of the medical transport profession.