PEDIATRICS Vol. 66 No. 1 July 1980, pp. 117-119
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Control of Oxygenation during the Transport of Sick Neonates

Carol Miller MD1, Ronald I. Clyman MD1, Robert S. Roth MD1, Susan H. Sniderman MD1, Roberta A. Ballard MD1, Douglas Henning MD1, Philip Riedel MD1, Alan Rosen MD1, and Linda Burden MD1

1 Department of Pediatrics, Mount Zion Hospital and Medical Center, San Francisco

A safe neonatal transport system is an essential component in the regionalization of perinatal care. Despite efforts to provide continuous intensive care to sick infants during transport,1-5 several studies have revealed an increased morbidity and mortality among infants transported to newborn intensive care units (NICU) compared with those infants born at the NICU.6,7 There is little information available about the adequacy of monitoring and maintaining oxygenation and acid-base status during infant transport. In a preliminary study we examined the ability of a neonatal transport team to maintain an infant's Pao2 (46 to 100 torr), pH (7.25 to 7.55), and Paco2 (20 to 50 torr) in the "physiologic" range during transport.