Inter- and intra-hospital transport of the critically ill.
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TLDR
Diligent planning for and monitoring during transport may decrease adverse events and reduce risk, so the anticipated benefits of transport must be weighed against the possible negative outcome during the transport.Abstract:
Intra- and inter-hospital transport is common due to the need for advanced diagnostics and procedures, and to provide access to specialized care. Risks are inherent during transport, so the anticipated benefits of transport must be weighed against the possible negative outcome during the transport. Adverse events are common in both in and out of hospital transports, the most common being equipment malfunctions. During inter-hospital transport, increased transfer time is associated with worse patient outcomes. The use of specialized teams with the transport of children has been shown to decrease adverse events. Intra-hospital transports often involve critically ill patients, which increases the likelihood of adverse events. Radiographic diagnostics are the most common in-hospital transport destination and the results often change the course of care. It is recommended that portable ventilators be used for transport, because studies show that use of a manual resuscitator alters blood gas values due to inconsistent ventilation. The performance of new generation transport ventilators has improved greatly and now allows for seamless transition from ICU ventilators. Diligent planning for and monitoring during transport may decrease adverse events and reduce risk.read more
Citations
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Journal ArticleDOI
Association of Anaesthetists of Great Britain and Ireland: Safe vascular access 2016†
S Babu,J Bennett,R Binks,P Fee,B Fox,A J Johnston,Andrew A. Klein,J A Langton,H Mclure,S Q M Tighe +9 more
TL;DR: This guidance was created using review of current practice and literature, as well as expert opinion, to provide practical advice on the safe insertion and removal of vascular access devices.
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Surge capacity logistics: care of the critically ill and injured during pandemics and disasters: CHEST consensus statement.
Sharon Einav,John L. Hick,Dan Hanfling,Dan Hanfling,Brian L. Erstad,Eric Toner,Richard D. Branson,Robert K. Kanter,Robert K. Kanter,Niranjan Kissoon,Jeffrey R. Dichter,Asha V. Devereaux,Michael D. Christian +12 more
TL;DR: Suggestions are presented pertaining to surge capacity mass critical care, including requirements for equipment, supplies, and pharmaceuticals; staff preparation and organization; methods of mitigating overwhelming patient loads; the role of deployable critical care services; and the use of transportation assets to support the surge response.
Journal ArticleDOI
Surge Capacity Principles: Care of the Critically Ill and Injured During Pandemics and Disasters: CHEST Consensus Statement
John L. Hick,Sharon Einav,Dan Hanfling,Dan Hanfling,Niranjan Kissoon,Jeffrey R. Dichter,Asha V. Devereaux,Michael D. Christian +7 more
TL;DR: The suggestions in this article are important for all who are involved in large-scale disasters or pandemics with injured or critically ill multiple patients, including front-line clinicians, hospital administrators, and public health or government officials.
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AAGBI: Safer pre-hospital anaesthesia 2017: Association of Anaesthetists of Great Britain and Ireland.
David Lockey,Kate Crewdson,G. Davies,Brian J. Jenkins,J. Klein,C. Laird,P. F. Mahoney,Jerry P. Nolan,A. Pountney,S. R. Shinde,S. Tighe,M. Q. Russell,J. Price,C. Wright +13 more
TL;DR: Pre‐hospital emergency anaesthesia with oral tracheal intubation is the technique of choice for trauma patients who cannot maintain their airway or achieve adequate ventilation and should be carried out as soon as safely possible, and performed to the same standards as in‐hospitalEmergency anaesthesia.
Journal ArticleDOI
High incidence of adverse events during intra-hospital transport of critically ill patients and new related risk factors: a prospective, multicenter study in China.
TL;DR: The incidence of P-AEs during intra-hospital transport of critically ill patients was high and strategies are needed to reduce their frequency, and risk factors for P- AEs during IHT were identified.
References
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Journal ArticleDOI
Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome.
Roy G. Brower,Michael A. Matthay,Alan H. Morris,David A. Schoenfeld,B. Taylor Thompson,Arthur P. Wheeler +5 more
TL;DR: In patients with acute lung injury and the acute respiratory distress syndrome, mechanical ventilation with a lower tidal volume than is traditionally used results in decreased mortality and increases the number of days without ventilator use.
Journal ArticleDOI
Clinical Practice Guideline Otitis Media with Effusion (Update)
Richard M. Rosenfeld,Jennifer J. Shin,Seth R. Schwartz,Robyn Coggins,Lisa Gagnon,Jesse M. Hackell,David Hoelting,Lisa L. Hunter,Ann W. Kummer,Spencer C. Payne,Dennis S. Poe,Maria C Veling,Peter M. Vila,Sandra A. Walsh,Maureen D. Corrigan +14 more
TL;DR: In this paper, the authors provide evidence-based recommendations to manage Otitis Media with effusion (OME), defined as the presence of fluid in the middle ear without signs or symptoms of acute ear infection.
Journal ArticleDOI
Ventilator-associated lung injury in patients without acute lung injury at the onset of mechanical ventilation.
Ognjen Gajic,Saqib I. Dara,Jose L. Mendez,Adebola Adesanya,Emir Festic,Sean M. Caples,Rimki Rana,Jennifer L. St. Sauver,James F. Lymp,Bekele Afessa,Rolf D. Hubmayr +10 more
TL;DR: The association between the initial tidal volume and the development of acute lung injury suggests that ventilator-associated lung injury may be an important cause of this syndrome.
Journal ArticleDOI
Guidelines for the inter- and intrahospital transport of critically ill patients.
TL;DR: Although both intra- and interhospital transport must comply with regulations, it is believed that patient safety is enhanced during transport by establishing an organized, efficient process supported by appropriate equipment and personnel.
Journal ArticleDOI
Ventilator settings as a risk factor for acute respiratory distress syndrome in mechanically ventilated patients
TL;DR: The association with the potentially injurious initial ventilator settings, in particular large tidal volumes, suggests that ARDS in mechanically ventilated patients is in part a preventable complication.