1. European consensus recommendations for neonatal and paediatric retrievals of positive or suspected COVID-19 patients
- Author
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Johannes van den Berg, Padmanabhan Ramnarayan, G. Jourdain, Fredrik Hegardt, Pierre Tissieres, Martin C. J. Kneyber, Morten Breindahl, Ulrich Terheggen, Maurizio Gente, Charles Christoph Roehr, Mattias Kjellberg, Christian Heiring, Institut de Biologie Intégrative de la Cellule (I2BC), Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Université Paris-Saclay-Centre National de la Recherche Scientifique (CNRS), Endotoxines, Structures et Réponses de l'hôte (ESHR), Département Microbiologie (Dpt Microbio), Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Université Paris-Saclay-Centre National de la Recherche Scientifique (CNRS)-Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Université Paris-Saclay-Centre National de la Recherche Scientifique (CNRS)-Institut de Biologie Intégrative de la Cellule (I2BC), and Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Université Paris-Saclay-Centre National de la Recherche Scientifique (CNRS)-Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Université Paris-Saclay-Centre National de la Recherche Scientifique (CNRS)
- Subjects
Parents ,Incubators, Infant ,medicine.medical_treatment ,PLASTIC BAGS ,[SDV]Life Sciences [q-bio] ,Modified delphi ,INFANTS ,0302 clinical medicine ,Medicine ,Airway Management ,Child ,Incubator ,3. Good health ,Europe ,Transportation of Patients ,Child, Preschool ,CUFFED ENDOTRACHEAL-TUBES ,Medical emergency ,Patient Safety ,Symptom Assessment ,Societies, Scientific ,Infectious Disease Transmission, Patient-to-Professional ,Coronavirus disease 2019 (COVID-19) ,STRATEGIES ,Adolescent ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,MEDLINE ,03 medical and health sciences ,030225 pediatrics ,Intensive care ,Humans ,Pediatrics, Perinatology, and Child Health ,Personal protective equipment ,Personal Protective Equipment ,HYPOTHERMIA ,Noninvasive Ventilation ,business.industry ,Infant, Newborn ,COVID-19 ,Infant ,medicine.disease ,Respiration, Artificial ,Cardiopulmonary Resuscitation ,CRITICALLY-ILL CHILDREN ,VENTILATION ,Disinfection ,Pediatrics, Perinatology and Child Health ,Equipment Contamination ,Airway management ,business ,030217 neurology & neurosurgery - Abstract
BACKGROUND: The 2020 novel coronavirus (SARS-Cov-2) pandemic necessitates tailored recommendations addressing specific procedures for neonatal and paediatric transport of suspected or positive COVID-19 patients. The aim of this consensus statement is to define guidelines for safe clinical care for children needing inter-facility transport while making sure that the clinical teams involved are sufficiently protected from SARS-CoV-2. METHODS: A taskforce, composed of members of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC) Transport section and the European Society for Paediatric Research (ESPR), reviewed the published literature and used a rapid, two-step modified Delphi process to formulate recommendations regarding safety and clinical management during transport of COVID-19 patients. RESULTS: The joint taskforce consisted of a panel of 12 experts who reached an agreement on a set of 17 recommendations specifying pertinent aspects on neonatal and paediatric COVID-19 patient transport. These included: case definition, personal protective equipment, airway management, equipment and strategies for invasive and non-invasive ventilation, special considerations for incubator and open stretcher transports, parents on transport and decontamination of transport vehicles. CONCLUSIONS: Our consensus recommendations aim to define current best-practice and should help guide transport teams dealing with infants and children with COVID-19 to work safely and effectively. IMPACT: We present European consensus recommendations on pertinent measures for transporting infants and children in times of the coronavirus (SARS-Cov-2 /COVID-19) pandemic. A panel of experts reviewed the evidence around transporting infants and children with proven or suspected COVID-19. Specific guidance on aspects of personal protective equipment, airway management and considerations for incubator and open stretcher transports is presented. Based on scant evidence, best-practice recommendations for neonatal and paediatric transport teams are presented, aiming for the protection of teams and patients. We highlight gaps in knowledge and areas of future research.
- Published
- 2020
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