Evidence map›Paper›PMID 42390585›Full record

Observational studyEuropean journal of pediatrics2026

Safely developing respiratory care during emergency neonatal transport through systematic collection and analysis of detailed ventilator data.

Lajos Lantos, Andras Szell, Gyula Szanto, Zsolt Somogyvari, Gusztav Belteki

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in European journal of pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Lajos LantosNeonatal Emergency and Transport Service of the Peter Cerny Foundation, Budapest, Hungary.
Andras SzellNeonatal Emergency and Transport Service of the Peter Cerny Foundation, Budapest, Hungary.
Gyula SzantoNeonatal Emergency and Transport Service of the Peter Cerny Foundation, Budapest, Hungary.
Zsolt SomogyvariNeonatal Emergency and Transport Service of the Peter Cerny Foundation, Budapest, Hungary.
Gusztav BeltekiNeonatal Emergency and Transport Service of the Peter Cerny Foundation, Budapest, Hungary. gusztav.belteki@nhs.net.ORCID http://orcid.org/0000-0002-2974-2011

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In a retrospective observational study of prospectively collected data, we investigated whether systematic computerised data collection and analysis enable the safe introduction of advanced ventilation modes-volume guarantee (VG) and high-frequency oscillatory ventilation (HFOV)-into routine clinical care during emergency neonatal transport. Data were downloaded from ventilators during interhospital transport over an 8.5-year period. Ventilator parameters, waveforms and loops were reconstructed and discussed during case review meetings. The quality of respiratory care was assessed against a set of quality indicators for each year. Trends in ventilation practice were also analysed. A total of 1031 infants were included. The use of ventilation modes supporting all breaths increased from 38% in 2017-2020 to 56% in 2021-2025 (p < 0.001). VG use increased during the first 2 years (p < 0.001) and subsequently remained stable at 82-87%. HFOV use increased from 2.6% in 2020 to 20.6% by 2025. pCO

conclusionAdvanced ventilation modes can be safely introduced into clinical use when accompanied by systematic data collection and analysis. Regular case reviews lead to practice development even without an explicit ventilation protocol. WHAT IS KNOWN: • Modern ventilators offering adaptive and advanced modes such as volume guarantee and high-frequency oscillatory ventilation are increasingly used during neonatal transport. • Their use during neonatal transfer has lagged behind their use in neonatal intensive care units. WHAT IS NEW: • Advanced ventilation modes can be safely introduced into routine clinical care during neonatal transport with systematic collection and analysis of detailed ventilator data. • Regular structured case reviews using these data result in practice development even without an explicit ventilation protocol.

Indexed as

High-Frequency VentilationRespiration, ArtificialTransportation of PatientsVentilators, MechanicalFemaleHumansInfant, NewbornRetrospective StudiesHigh-frequency oscillatory ventilationMechanical ventilationNeonatal transportVolume guarantee ventilation

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.