SURGICAL & CRITICAL CARE


skin-friendly, solvent-free and secure, yet gentle enough for a neonate. Also available is the Clik-FIX Soft PICC/Central Device, a larger version of the Clik-FIX Neonatal Device, for securing adult PICCs.


Transformation in neonatal transport With nearly 70,000 neonatal transports to tertiary centers occurring in the U.S. each year,25


the optimization of patient transport, this scalable solution ensures the centraliza- tion of the necessary equipment on the stretcher and pro- vides security and flexibility.


transport is an area of critical impor-


tance to healthcare organizations and their NICU patients. It all started back in the 1970s when U.S.


states “developed coordinated regional sys- tems for perinatal care that were predomi- nantly focused on neonatal outcomes,” with designated regional or tertiary care centers providing the highest levels of care. “Numerous studies validated the concept that improved neonatal outcomes were achieved through the application of risk- appropriate maternal transport systems.”26 In the early days of transport, “infants were transported from the referring hos- pitals in a variety of conveyances with personnel who had no special training in the care or transport of premature or ill newborns,” sometimes by parents in their own vehicles. But over the past 50 years, transport has evolved with the “develop- ment of sophisticated equipment to treat and transport infants…in concert with the development of specific clinical skills for transport personnel.”27 Mara G. Coyle, M.D., Professor of Pediatrics, Clinician Educator, Warren Alpert Medical School of Brown University, Staff Neonatologist, Director of NICU Outpatient Clinical Operations, Women & Infants Hospital of Rhode Island, com- ments on neonatal transport today. “Compared with other


populations, newborn transports require more interventions, involve more complications and as such require special- ized teams to improve outcomes. The goal of neo-


“Our Neonatal


Stretcher System is the most reliable solu- tion on the market, becoming a valuable addition to the criti- cal care team to pro- vide optimal care to patients in their first stage of life,” said Nancy Morest, Director of Business Development at Technimount. “Previously impossible, transport teams are now able to use the medical devices available and adapt the solution according to their unique and evolving needs. This system provides continuous access to medi- cal device monitors and controls, thereby increasing safety and making patient care more efficient and responsive.” HPN


References


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2. Cancers Caused by HPV, CDC, https://www.cdc.gov/hpv/ parents/cancer.html


3. Monsonego J et al. Gynecol Oncol. 2015;137(1):47-54 4. Stoler MH et al. Am J Clin Pathol. 2019;151(4):433-42 5. Salazar K et al. J Am Soc Cytopath. 2019;8:284-92


6. Ginsburg O, Yip CH, Brooks A, Cabanes A, Caleffi M, Dunstan Yataco JA, Gyawali B, McCormack V, McLaughlin de Anderson M, Mehrotra R, Mohar A, Murillo R, Pace LE, Paskett ED, Romanoff A, Rositch AF, Scheel JR, Schneidman M, Unger-Saldaña K, Vanderpuye V, Wu TY, Yuma S, Dvaladze A, Duggan C, Anderson BO. Breast cancer early detection: A phased approach to implementation. Cancer. 2020 May 15;126 Suppl 10(Suppl 10):2379-2393. doi: 10.1002/cncr.32887. PMID: 32348566; PMCID: PMC7237065.


Mara G. Coyle


natal transport is to stabilize the patient in an efficient manner, as extended time in the field is associated with increased mortality. The goal is not to bring the NICU to the baby but rather to bring the baby to the NICU.”


Technimount EMS recently introduced


its Neonatal Stretcher System designed to comply with the highest industry safety standards for the transport of medical equipment during neonatal inter-hospital transfers in critical care settings. Through


7. Understanding the aggressive breast cancers missed by mammogram screening, OHSU, June 30, 2020, https://news. ohsu.edu/2020/06/30/understanding-the-aggressive-breast- cancers-missed-by-mammogram-screening


8. Digital Breast Tomosynthesis (3D Mammography), Yale Medicine, https://www.yalemedicine.org/conditions/digital- breast-tomosynthesis


9. Davis E, Sparzak PB. Abnormal Uterine Bleeding. 2022 Sep 9. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–. PMID: 30422508.


10. Uterine Diseases, Medline Plus, https://medlineplus.gov/ uterinediseases.html


11. Uterine Cancer Statistics, CDC, https://www.cdc.gov/cancer/ uterine/statistics/index.htm


12. Study Uncovers Clues to Rise in Uterine Cancer Death Rates, Associated Press, May 5, 2022, https://www.usnews. com/news/health-news/articles/2022-05-05/study-uncovers- clues-to-rise-in-uterine-cancer-death-rates


22 December 2022 • HEALTHCARE PURCHASING NEWS • hpnonline.com


Technimount Neonatal Stretcher System


13. Frequent hair straightener use doubles uterine cancer risk, Medical News Today, October 20, 2022, https://www. medicalnewstoday.com/articles/frequent-hair-straightener-use- doubles-uterine-cancer-risk


14. adele, M., Bikila, D., Fite, R.O. et al. Maternal satisfaction towards childbirth Service in Public Health Facilities at Adama town, Ethiopia. Reprod Health 17, 60 (2020). https://doi. org/10.1186/s12978-020-00911-


15. Wang Y, Zhao T, Zhang Y, Li S, Cong X. Positive Effects of Kangaroo Mother Care on Long-Term Breastfeeding Rates, Growth, and Neurodevelopment in Preterm Infants. Breastfeed Med. 2021 Apr;16(4):282-291. doi: 10.1089/bfm.2020.0358. Epub 2021 Feb 2. PMID: 33533688.


16. Berta M, Lindgren H, Christensson K, Mekonnen S, Adefris M. Effect of maternal birth positions on duration of second stage of labor: systematic review and meta-analysis. BMC Pregnancy Childbirth. 2019 Dec 4;19(1):466. doi: 10.1186/ s12884-019-2620-0. PMID: 31801479; PMCID: PMC6894325.


17. Lyons KE, Ryan CA, Dempsey EM, Ross RP, Stanton C. Breast Milk, a Source of Beneficial Microbes and Associated Ben- efits for Infant Health. Nutrients. 2020 Apr 9;12(4):1039. doi: 10.3390/nu12041039. PMID: 32283875; PMCID: PMC7231147.


18. Wood NK, Sanders EA. Mothers With Perceived Insuf- ficient Milk: Preliminary Evidence of Home Interventions to Boost Mother-Infant Interactions. West J Nurs Res. 2018 Aug;40(8):1184-1202. doi: 10.1177/0193945916687552. Epub 2017 Jan 17. PMID: 28322655.


19. IQVIA ProVoice Survey; Nov-Oct 2018


20. Mothers using the INITIATE program followed by the MAINTAIN program achieved significantly higher daily milk volumes in the second week after birth, source: Medela.


21. Reproductive Health, Preterm Birth, CDC, https://www.cdc. gov/reproductivehealth/maternalinfanthealth/pretermbirth.htm


22. How NICUs Are Tailoring Their Approach to Care for the Tiniest Babies, Neonatal Intensive Care, Winter 2022, https:// nicmag.ca/pdf/NIC-35-1-Winter-2022-R19-post.pdf


23. Family-centered care in the NICU, The Lancet, May 2019, https://doi.org/10.1016/S2352-4642(19)30089-6


24. Nancy Moureau; Impact and Safety Associated with Ac- cidental Dislodgement of Vascular Access Devices: A Survey of Professions, Settings, and Devices. Journal of the Associa- tion for Vascular Access 1 December 2018; 23 (4): 203–215. doi: https://doi.org/10.1016/j.java.2018.07.002


25. Perry SE. Fifty Years of Progress in Neonatal and Maternal Transport for Specialty Care. J Obstet Gynecol Neonatal Nurs. 2021 Nov;50(6):774-788. doi: 10.1016/j.jogn.2021.04.013. Epub 2021 Jun 22. PMID: 34166650.


26. Levels of Maternal Care, American College of Obstetri- cians and Gynecologists (ACOG), August 2019, https://www. acog.org/clinical/clinical-guidance/obstetric-care-consensus/ articles/2019/08/levels-of-maternal-care


27. Perry SE. Fifty Years of Progress in Neonatal and Maternal Transport for Specialty Care. J Obstet Gynecol Neonatal Nurs. 2021 Nov;50(6):774-788. doi: 10.1016/j.jogn.2021.04.013. Epub 2021 Jun 22. PMID: 34166650.


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