A literature review on patient transport in Intensive Care units.

Abstract: Background This check of the current literature of the intra-hospital cristal of critically tribulation patients addresses the type and incidence of indecent cause, take a chance factors and risk assessment. The review will explore the available reading on ability and cost-effectiveness of transferring such patients for diagnostic or therapeutic interventions within the hospital. Methods and guidelines to interdict or reduce potential hazards and complications atomic number 18 provided. Methods A Medline search was performed employ the terms critical illness, transport of patients, patient transfer, critical cargon, manageing and intra-hospital transport. All randomness concerning the intra-hospital transport of patients was considered. Results Adverse effects whitethorn occur in up to 70% of transports. They include a assortment in heart rate, arterial hypotension and hypertension, increased intracranial pressure, arrhythmias, cardiac arrest, change in res piratory rate, hypocapnia, hypercapnia and material hypoxaemia. No transport-related deaths pay off been reported. In up to one-third of cases mishaps during transport were equipment related. A long deterioration of respiratory function was sight in 12% of cases. Patient-related risk indicators were comprise to be a high cure Intervention Severity Score, mechanical cellular respiration system, cellular respiration with positive end-expiratory pressure and high injury severity score, patients age, date of reference of transport and destination of transport.

Acute Physiology and Chronic Health paygrade II score, personnel accompanying the patient an! d other factors were non found to correlate with an increased rate of complications. Transports for diagnostic procedures resulted in a change in patient management in 40-50% of cases, indicating a good risk/benefit ratio. Conclusions To prevent adverse effects of intra-hospital transportation, guidelines concerning the organisation of transport, personnel, equipment and monitoring should be established. In particular, the figurehead of a critical care physician during transport, proper equipment to monitor springy functions and to treat such disturbances immediately, and close control of the patients ventilation are of major importance. It... If you want to get a liberal essay, pasture it on our website: BestEssayCheap.com

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