Обеспечение безопасности у пациентов в критических состояниях с преиму щественным поражением ЦНС при внутригоспитальной транспортировке
https://doi.org/10.17650/1683-3295-2012-12-1-49-52
Abstract
Material and methods. Retrospective analysis of results of 70 transportations at у 22 patients, including 5 patients with severe head injury and 17 patients with intracranial hemorrhages due to cerebral aneurysms rupture was performed. Received data indicate on the possibility of high-level safety control providing during in-hospital transportation of critically ill patients with predominant CNS damage.
Conclusions. In-hospital transportation of patients with predominant CNS damage and vital functions disturbances does not lead to their state worsening as well as it is no limit factor for treatment and diagnostic procedures performance in case of continuous and uninterrupted intensive care and monitoringAbout the Authors
С.В. ЕфременкоRussian Federation
Ю.Н. Карпанина
Russian Federation
Е.И. Алещенко
Russian Federation
References
1. American Academy of Pediatrics. Pediatric Life Support Cours [student CD]. American Heart Association. 2006. Dallas, TX.
2. Australasian College for Emergency Medicine, Australian and New Zealand College of Anaesthetists and Joint Faculty of Intensive Care Medicine. Minimum standards for intrahospital transport of critically ill patients. [Text] // Emerg Med. 2003. V. 15. P. 202—204.
3. Bell L. Nursing care and intracranial pressure monitoring [Text] // Am J Crit Care. 2009. V. 18(4). P. 33 8.
4. Benoit Fanara et аl. Recommendations for the intra-hospital transport of critically ill patients [Text] // Critical Care. 2010. V. 4. R. 87.
5. Braxton C.C., Reilly P.M., Schwab C.W. The traveling intensive care unit patient: road trips [Text] // Surg Clin North Am. 2000. V. 80(3). P. 949—956.
6. Beckmann U., Gillies D.M., Berenholtz S.M. et al. Incidents relating to the intrahospital transfer of critically ill patients [Text] // Intens Care Med. 2004. V. 30. P. 1579—1585.
7. Beninati W., Meyer M.T., Carter T.E. The critical care air transport program[Text] // Crit Care Med. 2008. V. 36(suppl). P. 370—376.
8. Brain Trauma Foundation. American Association of Neurological Surgeons, Joint Section on Neurotrauma and Critical Care, ANS/CNS. Guidelines for the management of severe traumatic brain injury [Text] // J. Neurotrauma. 2000. V. 17. P. 449—553.
9. Braman S.S., Dunn S.M., Amico C.A., Millman R.P. Complications of intrahospital transport in critically ill patients [Text] // Ann Intern Med. 1987. V. 107. P. 469—473.
10. Central Sydney Health Service, Royal Prince Alfred Hospital. Intensive Care Service Nursing Policy and Procedures. External ventricular drain. [Text] // Published March 2004.
11. Esmail R., Banack D., Cummings C. Is your patient ready for transport? Developing an ICU patient transport decision scorecard [Text] // Healthcare Q. 2006. V. 9. P. 80—86.
12. Ferdinande P. Recommendations for intrahospital transport of the severely head injured patient. European Society of Intensive Care Medicine statement [Text] // Intens Care Med. 1999. V. 25. P. 1441—1443.
13. Hinkelbein J., Floss F., Denz C., Krieter H. Accuracy and precision of three different methods to determine P co2 (Paco2 vs. Petco2 vs. Ptcco2) during interhospital ground transport of critically ill and ventilated adults [Text] // J. Trauma. 2008. V. 65(1). P. 10—18.
14. Johnson K. Ground critical care transport: a lifesaving intervention [ Text] // Crit Care Nurs. 2006. V. 26(1). P. 77—80.
15. Lahner D., Nikolic A., Marhofer P. et al. Incidence of complications in intrahospital transport of critically ill patients: experience in an Austrian university hospital [Text] //Wein Klin Wochenschr. 2007. V. 119. P. 412—416.
16. March K. et al. American Association of Neuroscience Nurses Core Curriculum for Neuroscience Nursing. 4th ed. 2004. P. 202—203, 210—211. St Louis, MO: Saunders.
17. Marino P.L. The ICU Book. 3rd ed. Lippincott Williams and Wilkins; 2007. P. 392—398. Philadelphia, PA.
18. Mazza B.F., Amaral J.L., Rosseti H. et al. Safety in intrahospital transportation: evaluation of respiratory and hemodynamic parameters—a prospective cohort study. [Text] // Sao Paulo Med J. 2008. V. 126(6). P. 319—322.
19. McFetridge B., Gillespie M., Goode D., Melby V. An exploration of the handover process of critically ill patients between nursing staff from the emergency department and the intensive care unit [Text] // Nurs Crit Care. 2007. V. 12(6). V. 261—269.
20. Nagappan R. Transit care medicine: a critical link [Text] // Crit Care Med. 2004. V. 32(1). P. 305—306.
21. Nagler J., Krauss B. Capnography: a valuable tool for airway management [Text] // Emerg Med Clin N Am. 2008. V. 26. P. 881—897.
22. Pope B.B. Providing safe passage for patients. [Text] // Nurs Manage. 2003. V. 4(9). P. 41—46.
23. Rice D.H., Kotti G., Beninati W. Critical care transport and austere critical care. [Text] // Crit Care. 2008. V. 12(2). P. 207—214.
24. Shirley P.J., Bion J.F. Intrahospital transport of critically ill patients: minimizing risk. [Text] // Intens Care Med. 2004. V. 63. P. 1508—1510.
25. Stecco A., Saponaro A., Carriero A. Patient safety issues in magnetic resonance imaging: state of the art. [Text] // Radiol Med. 2007. V. 112(4). P. 491—508.
26. Stevenson V.W., Haas C.F., Wahl W.L. Intrahospital transport of the adult mechanically ventilated patient. [Text] // Respir Care Clin. 2002. V. 8. P. 1—35.
27. Torri G. Study Group for Safety in Anesthesia and Intensive Care. Recommendations on the transport of critically ill patients. [Text] // Minerva Anestesiol. 2006. V. 72(10). P. I—XLVI.
28. Warren J., Fromm R.E., Orr R.A. et al. American College of Critical Care Medicine. Guidelines for the inter- and intrahospital transport of critically ill patients. [Text] // Crit Care Med. 2004. V. 32. P. 256—262.
29. Warner K.J., Cuschieri J., Carlbom D.J. et al. The utility of early end-tidal capnography in monitoring ventilation status after severe injury. [Text] // J. Trauma. 2009. V. 66. P. 26—31.
30. Waydhas C. Intrahospital transport of critically ill patients. [Text] // Crit Care. 1999. V. 3(5). P. 83—89.
Review
For citations:
, , . Russian journal of neurosurgery. 2012;12(1):49-52. https://doi.org/10.17650/1683-3295-2012-12-1-49-52
Email this article 