nCPAP transfer

The initial sample was divided into a group of patients transported to a ventilator (n=22) and a group of patients transported to nCPAP (n=47), respiratory support was discontinued in one case. Results: analyzing the parameters of respiratory support at the time of examination by the transport team, statistically significant differences were observed between the oxygen fraction groups (34% (30-45) and 30% (21-30), the first and second groups, respectively, p=0.002) and the saturation index of oxygenation (2.14 (1.55 - 2.58) and 1.53 (1.31 - 1.84)) the first and second groups, respectively, p = 0.001).

The saturation index of oxygenation has an acceptable predictive value in for tracheal intubation at the stage of pre–transport preparation (AUC 0.799 [0.682 - 0.917]). During transportation, one patient of the second group required tracheal intubation (2,13%[0,05 - 11,29]). Upon admission, one patient of the second group needed to perform tracheal intubation (2,17%[0,06 – 11,53]), no other correction of the parameters of noninvasive support was required for patients of the second group.

Conclusion: The main criterion for the transfer to a ventilator at the stage of pre-transport preparation is the dependence on additional oxygen during the nCPAP. The saturation oxygenation index (AUC 0.799 [0.682 – 0.917]) and the SpO2/FiO2 ratio (0.803 [0.687 – 0.919]) have an acceptable predictive value in relation to the need for tracheal intubation. The probability of intubation during transportation is 2.13% [0.05 - 11.29].