Infant Journal
for neonatal and paediatric healthcare professionals

pCO2 variation in elective transfers of infants on non-invasive respiratory support

Repatriations to local care are an integral part of the remit of neonatal transport teams, with a significant proportion of these infants being transferred on non-invasive respiratory support. A routine blood gas on arrival at the receiving unit is part of our team’s current practice for elective repatriations of infants on non-invasive respiratory support. Through retrospective review of data from a large number of patients transferred, we aimed to determine if there was a significant change in the partial pressure of carbon dioxide (pCO2) on arrival at the receiving unit, and to identify a subgroup of infants most at risk of an increase in pCO2.

Catarina Couto
Clinical Fellow

Mira Parmar
Neonatal Grid Trainee

Julia Arthur
Consultant Neonatologist, PaNDR

Samantha O’Hare
Consultant Neonatologist, Neonatal Lead for PaNDR

Sue Broster
Consultant Neonatologist, Clinical Director for PaNDR

Paediatric and Neonatal Decision Support and Retrieval (PaNDR) service, Cambridge University Hospitals

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repatriations; neonatal transport; non-invasive respiratory support; partial pressure of carbon dioxide
Key points
  1. We found no significant change in pCO2 on arrival at the receiving unit in infants undergoing elective repatriations on non-invasive respiratory support.
  2. A routine blood gas on arrival at the receiving unit following elective repatriations is unnecessary.

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