High-risk intrahospital transport of critically ill patients

Szem, Jeffrey W.; Hydo, Lynn J.; Fischer, Eva; Kapur, Sandip; Klemperer, John D.; Barie, Philip S.

doi:10.1097/00003246-199510000-00009

Cited by 173 publications

(105 citation statements)

References 24 publications

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“…(10) Patients in critical conditions benefit from the resources in the intensive care unit to ensure their hemodynamic stability and have the assistance of a trained and specialized staff. However, during intrahospital transport, the same security is not always preserved.…”

Section: Resultsmentioning

confidence: 99%

Caracterização do transporte de pacientes críticos na modalidade intra-hospitalar

2014

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Objective: Characterizing the transport of critically ill patients in an adult intensive care unit. Methods: Cross-sectional study in which 459 intra -hospital transports of critically ill patients were included. Data were collected from clinical records of patients and from a form with the description of the materials and equipment necessary for the procedure, description of adverse events and of the transport team. Results: A total of 459 transports of 262 critically ill patients were carried out, with an average of 51 transports per month. Patients were on ventilatory support (41.3 %) and 34.5 % in use of vasoactive drugs. Adverse events occurred in 9.4% of transports and 77.3 % of the teams were composed of physicians, nurses and nurse technicians. Conclusion: The transport of critically ill patients occurred in the morning period for performing computerized tomographies (CT scans) with patients dependent on mechanical ventilation and vasoactive drugs. During the transports the equipment was functioning, and the adverse events were attributed to clinical changes of patients. ResumoObjetivo: Caracterizar o transporte de pacientes críticos em unidade de terapia intensiva adulto. Métodos: Estudo transversal onde foram incluídos 459 transportes de pacientes críticos na modalidade intrahospitalar. Os dados foram coletados nos prontuários clínicos dos pacientes e em um formulário com a descrição dos materiais e equipamentos necessários ao procedimento, descrição de ocorrências adversas e da equipe que realizou. Resultados: Foram realizados 459 transportes de 262 pacientes críticos com média de 51 transportes por mês. Eram pacientes em suporte ventilatório (41,3%) e 34,5% em uso de drogas vasoativas. Em 9,4% dos transportes ocorreram eventos adversos sendo 77,3% das equipes compostas por médico, enfermeiro e técnico de enfermagem. Conclusão: Os transportes de pacientes críticos ocorreram no período da manhã, para realização de tomografia computadorizada, com pacientes dependentes de suporte ventilatório e drogas vasoativas. Os equipamentos durante o transporte estavam funcionando e, os eventos adversos ocorridos foram atribuídos a alterações clínicas dos pacientes.

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Section: Resultsmentioning

confidence: 99%

Caracterização do transporte de pacientes críticos na modalidade intra-hospitalar

2014

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“…Por outro lado, pacientes críticos, instáveis do ponto de vista hemodinâmico, dependentes de ventilação mecânica e, sobretudo, aqueles com necessidade de altas frações de O 2 muitas vezes apresentam risco alto e não são pacientes adequados para o transporte até ambientes com fluoroscopia para a instalação de filtros de veia cava inferior. Corroborando essas afirmações, dois autores relatam risco de 5,9 a 15,5% de complicações no transporte intra-hospitalar de pacientes críticos 3,4 .…”

Section: Discussionunclassified

Implante de filtro de veia cava inferior guiado por ultra-som: relato de dois casos

2006

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The percutaneous placement of inferior vena cava filters is traditionally carried out in angiosuite or operating room using fluoroscopy and infusion of iodinated contrast for proper positioning of the device. However, for patients hospitalized in intensive care units under poor conditions for transportation, and for patients with impaired renal function, their displacement and the nephrotoxicity of the iodinated contrast agents are frequently matters of concern. Thus, the bedside placement of inferior vena cava filters guided by ultrasound may be a reasonably safe and attractive alternative for these patients.

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“…İnotrop alan ve "Pozitif End Expiratory Pressure (PEEP)" ile ventilasyon yapılan hastaların transport edilmeleri sırasında ve yoğun bakıma dönüldüğün-de mortalitelerinin daha yüksek olduğu görülmüş-tür (3). Aynı çalışmada transport edilen hastaların transport edilmeyen hastalar ile kıyaslandığında yoğun bakım yatış sürelerinin 3 kat daha fazla olduğu görülmüştür (3).…”

Section: Tablo 2 Transport S›ras›nda Karfl›lafl›lan Problemlerunclassified

“…En iyi şartlar altında yapılan transportlarda bile %1 civarında ölüm görülmektedir. Transport edilen hastalardaki ölüm oranının, aynı durumdaki transport edilmeyen hastalara göre, %17 oranında daha fazla olduğu tespit edilmiştir (3).…”

Section: Introductionunclassified

Evaluation of the Events Due to Intra-Hospital Transportation of Critically lll Pediatric Patients

Horoz¹,

Yıldızdaş²,

Menemencioglu³

2014

Turk J Ped Em Int Care Med

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ÖZET Amaç: Çocuk yoğun bakım ünitesinde yatan hastaların, hastane içi transportları sırasında ortaya çıkabilecek problemler açısından değerlendirilmesi. Gereç ve Yöntem: Çalışma Ocak 2008 -Aralık 2008 tarihleri arasında Çukurova Üniversitesi Tıp Fakültesi Çocuk Yoğun Bakım Ünitesi'nden gerçekleştirilen hastane içi transportların prospektif olarak değerlendirilmesini içermektedir. Bulgular: Gerçekleştirilen 180 adet hastane içi transportta yalnızca 2 (% 1,1) hastada desatürasyon, 3 (% 1,6) hastada bradikardi, 1 (% 0,5) hastada taşikardi, 3 (% 1,6) hastada hipotansiyon, 4 (% 2,2) hastada hipertansiyon, 1 (% 0,5) hastada da hipotermi tespit edildi. Hiçbir hastada ciddi bir problem ve ölüm görülmedi. Sonuç: Çocuk yoğun bakım hastalarının transportu beraberinde getirdiği riskler nedeniyle dikkatle değerlendirilme-si ve ele alınması gereken bir konudur. Transport endikasyonunun iyi belirlenmesi, transport ekibinin nitelikli hale getirilmesi, ekipmanın gerekli ve yeterli olarak hazırlanması olası problemleri azaltabilir (CAYD 2014; 1(1):25-30). Anahtar Kelimeler: Hastane içi transport, çocuk yoğun bakım hastası, problemler SUMMARY Introduction: To evaluate the problems occurring during intra-hospital transportation of critically ill pediatric patients. Material and Methods: Problems occurring during intra-hospital transportation of critically ill pediatric patients had been evaluated prospectively between Januray, 01 -December, 31 2008 at Çukurova University School of Medicine, Pediatric Intensive Care Unit. The data were evaluated using descriptive statistics. Data were presented as percentage. Results: During the study period, a total 180 intra-hospital patient transportation was done. Patients' problems had occurred during those transportations were as follows: desaturation in 2 (1.1 %) patients, bradycardia in 3 (1.6%) patients, tachycardia in 1 (0.5%) patient, hypotension in 3 (1.6%) patient, hypertension in 4 (2.2%) patients, hypothermia in 1 (0.5%) patient. All problems that occurred during intra-hospital transportations had improved via appropriate intrventions. No mortality had occured related to transportation problems. Conclusion : Intra-hospital transportation of critically ill pediatric patients places the patient at risk for adverse events and thus, it should be performed under strict criteria. As seen in our study, appropriate establishment of transport indications and qualifying of transport equipment may reduce potential transport related adverse events (CAYD 2014; 1(1):25-30).

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High-risk intrahospital transport of critically ill patients

Cited by 173 publications

References 24 publications

Caracterização do transporte de pacientes críticos na modalidade intra-hospitalar

Caracterização do transporte de pacientes críticos na modalidade intra-hospitalar

Implante de filtro de veia cava inferior guiado por ultra-som: relato de dois casos

Evaluation of the Events Due to Intra-Hospital Transportation of Critically lll Pediatric Patients

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