Medical evacuation of non-transportable newborns after re-evaluation
Электронный научный архив УРФУ
Информация об архиве | Просмотр оригинала| Поле | Значение | |
| Заглавие |
Medical evacuation of non-transportable newborns after re-evaluation
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| Автор |
Kovtun, O. P.
Davydova, N. S. Mukhametshin, R. F. Kurganski, A. A. |
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| Тематика |
INTENSIVE CARE
MEDICAL EVACUATION NEWBORNS TRANSPORTABILITY |
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| Описание |
BACKGROUND: Early admission or birth in a high-level neonatal care facility is associated with lower morbidity in preterm infants. Assessment of transportability remains a problem of the pre-transport evaluation. The literature data lacks the pos-sibility of subsequent evacuation of patients recognized as non-transportable at the first examination. AIM: This study compares intensive care during the first and second examinations of patients recognized as non-transport-able and evacuated after re-departure. MATERIALS AND METHODS: The cohort study included data from patients recognized as non-transportable at the first examination and evacuated after the second examination (18 patients). Comparison of intensive care, assessments by scales, correction of intensive care by the transport team during the first and repeated examinations of the patient was performed. Descriptive statistics methods, Wilcoxon’s test, and McNemar’s test were applied. RESULTS: Patients evacuated on the second attempt had a birth weight of less than 1500 grams. The median birth weight was 1125 [740–3240] grams. The patients were reliably more often on traditional mechanical ventilation and less on high-frequency ventilation at the second examination. The infusion of adrenaline and prostaglandins was more often performed. The average number of corrective actions per patient at the first examination was 1.33 (SD 0.77), at the second examination — 0.5 (SD 0.62), p = 0.003. During the first attempt at evacuation, patients significantly more often required the administration or correction of the catecholamine dose, tracheal reintubation, and blood transfusion. CONCLUSION: The data obtained indicate the inadequacy of the therapy performed before the arrival of the transport team contributes to the decision on the patient’s non-transportability. © Authors, 2021.
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| Дата |
2024-04-08T11:07:27Z
2024-04-08T11:07:27Z 2022 |
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| Тип |
Article
Journal article (info:eu-repo/semantics/article) Published version (info:eu-repo/semantics/publishedVersion) |
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| Идентификатор |
Ковтун, ОП, Давыдова, НС, Мухаметшин, Р & Курганский, АА 2022, 'МЕДИЦИНСКАЯ ЭВАКУАЦИЯ НЕТРАНСПОРТАБЕЛЬНЫХ НОВОРОЖДЕННЫХ ПОСЛЕ ПОВТОРНОГО ОСМОТРА', Российский вестник детской хирургии, анестезиологии и реаниматологии, Том. 12, № 2, стр. 167-176. https://doi.org/10.17816/psaic1046
Ковтун, О. П., Давыдова, Н. С., Мухаметшин, Р., & Курганский, А. А. (2022). МЕДИЦИНСКАЯ ЭВАКУАЦИЯ НЕТРАНСПОРТАБЕЛЬНЫХ НОВОРОЖДЕННЫХ ПОСЛЕ ПОВТОРНОГО ОСМОТРА. Российский вестник детской хирургии, анестезиологии и реаниматологии, 12(2), 167-176. https://doi.org/10.17816/psaic1046 2219-4061 Final All Open Access; Gold Open Access https://rps-journal.ru/jour/article/download/1046/pdf_1 https://rps-journal.ru/jour/article/download/1046/pdf_1 http://elar.urfu.ru/handle/10995/131461 49198853 10.17816/psaic1046 85167672023 |
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| Язык |
ru
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| Права |
Open access (info:eu-repo/semantics/openAccess)
cc-by-nc-nd https://creativecommons.org/licenses/by-nc-nd/4.0/ |
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| Формат |
application/pdf
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| Издатель |
Eco-Vector LLC
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| Источник |
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care |
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