Intrahospital transport of the adult mechanically ventilated patient

Keeping Patients Safe During Intrahospital Transport

“…2,15,17,18 Examples of equipment-based mishaps include battery failure of portable equipment, monitor malfunction, and depletion of portable oxygen supplies. 16,17,23 The reported prevalence of equipment-related mishaps during critical care transport is from 11% to 34%. 2,13,[16][17][18]21 Human-based mishaps develop from inadequate training, monitoring, and communication.…”

“…7,9,10,14,18 Suboptimal monitoring and agitation of the patient may result in unplanned extubation. 3,17,21,23 Inexperience may result in the disconnection or withdrawal of intravenous catheters, a mishap potentially resulting in disruption of therapy, embolus, and/or blood loss, all potentially leading to instability in the patient's condition.…”

“…According to the guidelines, each hospital should have a written protocol for intrahospital transport, 3,7,11,14,23,31,32 developed by a multidisciplinary team 14,23,31 and evaluated by a quality improvement process. 23,31 This protocol should address pretransport communication and coordination, equipment, monitoring, documentation, and transport personnel/training.…”

“…23,31 This protocol should address pretransport communication and coordination, equipment, monitoring, documentation, and transport personnel/training. 11,14,32,33 Training should include a "competency-based orientation"…”

Traqueostomia em pacientes sob ventilação mecânica: quando indicar?

“…In addition, there is always a chance that equipment such as transport ventilators or infusion pumps will malfunction. (4) In the study by Perfeito et al, published in the current issue of the Brazilian Journal of Pulmonology, the feasibility, complications and mortality related to bedside tracheostomy in the ICU were evaluated. This retrospective study comprised 73 patients submitted to this procedure in 2003.…”