Caso contributivo
Trasporto d'emergenza neonatale: la fortuna aiuta gli “audaci” ma… meglio non rischiare!
Neonatal emergency transport: luck favours the bold, but… better not to take the risk!
Mario Diplomatico1, Davide Panizza2, Carmen Rodriguez3, Francesco Crispino4, Francesco Maria Risso3
1UOC Neonatologia e Terapia Intensiva Neonatale, AORN “S.G. Moscati”, Avellino
2SC TIN-Neonatologia, Ospedale “Filippo del Ponte”, ASST “Sette Laghi”, Varese
3UOC di Neonatologia e Terapia Intensiva Neonatale, Ospedale dei Bambini, ASST Spedali Civili di Brescia
4UOC Pediatria-Neonatologia, ASReM - Campobasso-Isernia-Termoli
Settembre 2026 | DOI: 10.53126/MEBXXIXST205
Abstract
The Neonatal Emergency Transport Service (NETS) is a cornerstone of regionalised perinatal care that ensures the safe transfer of neonates from "Spoke" hospitals to Level II "Hub" centres. Despite its widespread presence in Italy, with 56 active centres in 2020, transport remains a high-risk clinical activity. This article examines the clinical risk management and the incidence of adverse events (AEs) during neonatal transport and considers, as example, two real-life cases illustrating technical malfunctions and critical clinical-organizational challenges. The literature highlights a lack of standardised AE reporting; however, recent studies, such as the one conducted in Brescia (2021-2023), indicate that AEs occur in 21.8% of transports. Most events (82%) occur during the stabilisation and return phases and are frequently linked to human error (68%).
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