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European consensus recommendations for neonatal and paediatric retrievals of positive or suspected COVID-19 patients.

Identifieur interne : 001000 ( Main/Exploration ); précédent : 000F99; suivant : 001001

European consensus recommendations for neonatal and paediatric retrievals of positive or suspected COVID-19 patients.

Auteurs : Ulrich Terheggen [Émirats arabes unis] ; Christian Heiring [Danemark] ; Mattias Kjellberg [Suède] ; Fredrik Hegardt [Suède] ; Martin Kneyber [Pays-Bas] ; Maurizio Gente [Italie] ; Charles C. Roehr [Royaume-Uni] ; Gilles Jourdain [France] ; Pierre Tissieres [France] ; Padmanabhan Ramnarayan [Royaume-Uni] ; Morten Breindahl [Danemark] ; Johannes Van Den Berg [Suède]

Source :

RBID : pubmed:32634819

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.


DOI: 10.1038/s41390-020-1050-z
PubMed: 32634819


Affiliations:


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<p>
<b>BACKGROUND</b>
</p>
<p>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.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>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.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>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.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>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.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>IMPACT</b>
</p>
<p>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.</p>
</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="Publisher" Owner="NLM">
<PMID Version="1">32634819</PMID>
<DateRevised>
<Year>2020</Year>
<Month>07</Month>
<Day>14</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1530-0447</ISSN>
<JournalIssue CitedMedium="Internet">
<PubDate>
<Year>2020</Year>
<Month>Jul</Month>
<Day>07</Day>
</PubDate>
</JournalIssue>
<Title>Pediatric research</Title>
<ISOAbbreviation>Pediatr. Res.</ISOAbbreviation>
</Journal>
<ArticleTitle>European consensus recommendations for neonatal and paediatric retrievals of positive or suspected COVID-19 patients.</ArticleTitle>
<ELocationID EIdType="doi" ValidYN="Y">10.1038/s41390-020-1050-z</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="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.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="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.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="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.</AbstractText>
<AbstractText Label="IMPACT" NlmCategory="CONCLUSIONS">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.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Terheggen</LastName>
<ForeName>Ulrich</ForeName>
<Initials>U</Initials>
<Identifier Source="ORCID">http://orcid.org/0000-0002-1415-6618</Identifier>
<AffiliationInfo>
<Affiliation>Department of Critical Care, Paediatric and Cardiac Intensive Care Unit, Al Jalila Children's Hospital, Dubai, United Arab Emirates. terheggen@gmx.org.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Heiring</LastName>
<ForeName>Christian</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Department of Neonatal and Paediatric Intensive Care, Rigshospitalet, the National University Hospital in Denmark, Copenhagen, Denmark.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Kjellberg</LastName>
<ForeName>Mattias</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Department of Neonatal Intensive Care, Uppsala University Children's Hospital, Uppsala, Sweden.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Hegardt</LastName>
<ForeName>Fredrik</ForeName>
<Initials>F</Initials>
<AffiliationInfo>
<Affiliation>Department of Pediatrics, Neonatal Intensive Care Unit, Umeå University Hospital, Umeå, Sweden.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Kneyber</LastName>
<ForeName>Martin</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Department of Paediatrics, Division of Paediatric Critical Care Medicine, Beatrix Children's Hospital, University, Medical Center Groningen, University of Groningen, Groningen, The Netherlands.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Critical Care, Anaesthesiology, Peri-Operative & Emergency Medicine (CAPE), University of Groningen, Groningen, The Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Gente</LastName>
<ForeName>Maurizio</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Maternal Infant Department, Policlinico Umberto I, Sapienza University of Roma, Roma, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Roehr</LastName>
<ForeName>Charles C</ForeName>
<Initials>CC</Initials>
<AffiliationInfo>
<Affiliation>National Perinatal Epidemiology Unit Clinical Trials Unit, Department of Population Health, Medical Sciences Division, University of Oxford, Oxford, UK.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Newborn Services, Women's Centre, John Radcliffe Hospital, Oxford University Hospitals, NHS Foundation Trust, Oxford, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Jourdain</LastName>
<ForeName>Gilles</ForeName>
<Initials>G</Initials>
<AffiliationInfo>
<Affiliation>Division of Pediatrics, Neonatal Critical Care and Transportation, Medical Center "A.Béclère", Paris Saclay University Hospitals, APHP, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Tissieres</LastName>
<ForeName>Pierre</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Pediatric Intensive Care Unit, Bicêtre University Hospital, AP-HP, Paris Saclay University, Le Kremlin-Bicêtre, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Integrative Biology of the Cell, CNRS, CEA, Paris South University, Paris Saclay University, Gif-sur-Yvette, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Ramnarayan</LastName>
<ForeName>Padmanabhan</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Children's Acute Transport Service (CATS), Great Ormond Street Hospital, London, UK.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Paediatric Intensive Care Unit, St Mary's Hospital, London, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Breindahl</LastName>
<ForeName>Morten</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Department of Neonatal and Paediatric Intensive Care, Rigshospitalet, the National University Hospital in Denmark, Copenhagen, Denmark.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>van den Berg</LastName>
<ForeName>Johannes</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Department of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016454">Review</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2020</Year>
<Month>07</Month>
<Day>07</Day>
</ArticleDate>
</Article>
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<Country>United States</Country>
<MedlineTA>Pediatr Res</MedlineTA>
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<ISSNLinking>0031-3998</ISSNLinking>
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</MedlineCitation>
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<History>
<PubMedPubDate PubStatus="received">
<Year>2020</Year>
<Month>04</Month>
<Day>21</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2020</Year>
<Month>06</Month>
<Day>17</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised">
<Year>2020</Year>
<Month>06</Month>
<Day>15</Day>
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<PubMedPubDate PubStatus="pubmed">
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<Month>7</Month>
<Day>8</Day>
<Hour>6</Hour>
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<Month>7</Month>
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<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
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<country>
<li>Danemark</li>
<li>France</li>
<li>Italie</li>
<li>Pays-Bas</li>
<li>Royaume-Uni</li>
<li>Suède</li>
<li>Émirats arabes unis</li>
</country>
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<li>Angleterre</li>
<li>Grand Londres</li>
<li>Groningue (province)</li>
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<li>Oxfordshire</li>
<li>Île-de-France</li>
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<settlement>
<li>Copenhague</li>
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<name sortKey="Kneyber, Martin" sort="Kneyber, Martin" uniqKey="Kneyber M" first="Martin" last="Kneyber">Martin Kneyber</name>
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<region name="Latium">
<name sortKey="Gente, Maurizio" sort="Gente, Maurizio" uniqKey="Gente M" first="Maurizio" last="Gente">Maurizio Gente</name>
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<region name="Angleterre">
<name sortKey="Roehr, Charles C" sort="Roehr, Charles C" uniqKey="Roehr C" first="Charles C" last="Roehr">Charles C. Roehr</name>
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<name sortKey="Ramnarayan, Padmanabhan" sort="Ramnarayan, Padmanabhan" uniqKey="Ramnarayan P" first="Padmanabhan" last="Ramnarayan">Padmanabhan Ramnarayan</name>
<name sortKey="Ramnarayan, Padmanabhan" sort="Ramnarayan, Padmanabhan" uniqKey="Ramnarayan P" first="Padmanabhan" last="Ramnarayan">Padmanabhan Ramnarayan</name>
<name sortKey="Roehr, Charles C" sort="Roehr, Charles C" uniqKey="Roehr C" first="Charles C" last="Roehr">Charles C. Roehr</name>
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<country name="France">
<region name="Île-de-France">
<name sortKey="Jourdain, Gilles" sort="Jourdain, Gilles" uniqKey="Jourdain G" first="Gilles" last="Jourdain">Gilles Jourdain</name>
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<name sortKey="Tissieres, Pierre" sort="Tissieres, Pierre" uniqKey="Tissieres P" first="Pierre" last="Tissieres">Pierre Tissieres</name>
<name sortKey="Tissieres, Pierre" sort="Tissieres, Pierre" uniqKey="Tissieres P" first="Pierre" last="Tissieres">Pierre Tissieres</name>
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