A 3-Year Retrospective Audit of the Use of Noninvasive Positive Pressure Ventilation via the Oxylog 3000 Transport Ventilator During Air Medical Retrievals

Cong, Minh Le; Robertson, Anita

doi:10.1016/j.amj.2012.10.016

Cited by 9 publications

(13 citation statements)

References 3 publications

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“…2,8,9 The use of noninvasive positive-pressure ventilation in the air medical environment has been minimally researched to date. 10,11 In this study, we attempt to show the feasibility, safety, and some of the advantages of NIMV over SMT in helicopter emergency medical services (HEMS). The aim of this study was to evaluate NIMV in the HEMS environment in patients with ACPE and exacerbated COPD.…”

Section: Noninvasive Mechanical Ventilation In Helicopter Emergency Mmentioning

confidence: 99%

Noninvasive Mechanical Ventilation in Helicopter Emergency Medical Services Saves Time and Oxygen and Improves Patient and Mission Safety: A Pilot Study

Garrote¹,

Aylagas²,

Gutiérrez³

et al. 2015

Air Medical Journal

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Section: Noninvasive Mechanical Ventilation In Helicopter Emergency Mmentioning

confidence: 99%

Noninvasive Mechanical Ventilation in Helicopter Emergency Medical Services Saves Time and Oxygen and Improves Patient and Mission Safety: A Pilot Study

Garrote¹,

Aylagas²,

Gutiérrez³

et al. 2015

Air Medical Journal

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“…13,15,[21][22][23][24]33,34,37,41,43,45 Often papers concerned a localised area or a specific trauma issue such as airway management. 12,16,17,31,46 Key themes in the trauma population include priority identification, stabilisation, in-flight clinical management and timeliness of transport to definitive diagnosis and care. 27,32 However, acknowledging the predominance of trauma-based articles, the authors believe an objective determination of the true epidemiology in primary aeromedical retrievals is required to allow extrapolation of clinical needs.…”

Section: Primary Aeromedical Retrievals In Australia: Context Insightsmentioning

confidence: 99%

“…Another common focus in the literature was on airway management and equipment. 12,15,20,26,30,31 Such professional skill differences often define scopes of practice. 3 An emerging area of discussion relates to prehospital therapeutic agents such as muscle relaxants and the carriage of blood products.…”

Section: Primary Aeromedical Retrievals In Australia: Context Insightsmentioning

confidence: 99%

Review article: Primary aeromedical retrievals in Australia: An interrogation and search for context

King

Franklin

Robertson

et al. 2019

Emerg Medicine Australasia

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Primary aeromedical retrievals are a direct scene response to patients with a critical injury or illness using a medically equipped aircraft. They are often high-acuity taskings. In Australia, information on primary retrieval taskings is housed by service providers, of which there are many across the country. This exploratory literature review aims to explore the contemporary peer-reviewed literature on primary aeromedical retrievals in Australia. The focus is on adult primary aeromedical retrievals undertaken in Australia and clinical tools used in this pre-hospital setting.

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“…9 10 A recent case series has suggested that adult interhospital NIV may be associated with a risk of patient deterioration. 11 Studies in other retrieval services with larger populations are therefore necessary. 12 The overall aim of this study was to investigate the current use of NIV in critically unwell adults undergoing retrieval by an Australian physician-led aeromedical service.…”

Section: Introductionmentioning

confidence: 99%

Management of critical illness with non-invasive ventilation by an Australian HEMS

2016

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BackgroundNon-invasive ventilation (NIV) therapy is widely used for the management of acute respiratory failure. The objective of this study was to investigate the current use of NIV during interhospital retrievals in an Australian physician-led aeromedical service.MethodsWe reviewed patients receiving NIV during interhospital retrieval at the Greater Sydney Area Helicopter Medical Services (GSA-HEMS) over a 14-month period. The main objectives were to describe the number of retrievals using NIV, the need for intubation in NIV patients and the effect of the therapy on mission duration.ResultsOver the study period, 3018 missions were reported; 106 cases (3.51%) involved administration of NIV therapy during the retrieval. The most common indication for NIV was pneumonia (34.0%). 86/106 patients received a successful trial of NIV therapy prior to interhospital transfer. 58 patients were transferred on NIV, while 28 patients had NIV removed during transport. None of these 86 patients required intubation or died, although 17/86 ultimately required intubation within 24 hours at the receiving centre. 20/106 patients required intubation at the referring hospital after a failed trial of NIV therapy. NIV was successfully used in all available transport platforms including rotary wing. Patients receiving NIV were found to have prolonged mission durations compared with other GSA-HEMS patients (222.5 vs 193 min). This increase in mission duration was largely attributable to NIV failure, resulting in a need for Rapid Sequence Intubation at the referring hospital.ConclusionsWith careful patient selection, the use of interhospital NIV is feasible and appears to be safe in a retrieval system with care provided by a critical care physician.

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A 3-Year Retrospective Audit of the Use of Noninvasive Positive Pressure Ventilation via the Oxylog 3000 Transport Ventilator During Air Medical Retrievals

Cited by 9 publications

References 3 publications

Noninvasive Mechanical Ventilation in Helicopter Emergency Medical Services Saves Time and Oxygen and Improves Patient and Mission Safety: A Pilot Study

Noninvasive Mechanical Ventilation in Helicopter Emergency Medical Services Saves Time and Oxygen and Improves Patient and Mission Safety: A Pilot Study

Review article: Primary aeromedical retrievals in Australia: An interrogation and search for context

Management of critical illness with non-invasive ventilation by an Australian HEMS

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