Article ; Online: European consensus recommendations for neonatal and paediatric retrievals of positive or suspected COVID-19 patients.
2020 Volume 89, Issue 5, Page(s) 1094–1100
Abstract: ... addressing specific procedures for neonatal and paediatric transport of suspected or positive COVID-19 ... to formulate recommendations regarding safety and clinical management during transport of COVID-19 patients ... children with COVID-19 to work safely and effectively.: Impact: We present European consensus ...
| 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. |
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| MeSH term(s) | Adolescent ; Airway Management/methods ; Airway Management/standards ; COVID-19/diagnosis ; COVID-19/prevention & control ; COVID-19/transmission ; Cardiopulmonary Resuscitation/methods ; Child ; Child, Preschool ; Disinfection/methods ; Disinfection/standards ; Equipment Contamination/prevention & control ; Europe ; Humans ; Incubators, Infant ; Infant ; Infant, Newborn ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Noninvasive Ventilation/methods ; Noninvasive Ventilation/standards ; Parents ; Patient Safety/standards ; Personal Protective Equipment ; Respiration, Artificial/methods ; Respiration, Artificial/standards ; Societies, Scientific ; Symptom Assessment ; Transportation of Patients/standards |
| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-07-07 |
| Publishing country | United States |
| Document type | Consensus Development Conference ; Journal Article ; Practice Guideline ; Research Support, Non-U.S. Gov't ; Review |
| ZDB-ID | 4411-8 |
| ISSN | 1530-0447 ; 0031-3998 |
| ISSN (online) | 1530-0447 |
| ISSN | 0031-3998 |
| DOI | 10.1038/s41390-020-1050-z |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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