Fantoms
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Two reviews this month examine issues of the transport of babies: ex-prems in car seats and any sick baby being transported by fixed wing aircraft. The first is the more contentious, since much of the belief about the potential for harm has been derived from physiological measurements rather than empirical observation of infants directly harmed by being transported in car seats, as is clearly demonstrated by the citations in Pilley and McGuire’s review. However, as more fragile babies are discharged earlier into home care programmes, not just with nasal oxygen but increasingly with tube feeding, it is important to try to predict possible hazards before they come to light because babies have suffered harm. This means it is very important to develop adequately validated tests, and it is here that the problems arise.
See page 452
Conversely, safe air transport requires adherence to the certification procedures of several regulatory authorities,
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