A literature review on patient transport in Intensive Care units.

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

Acute Physiology and Chronic Health valuation II score, pe rsonnel accompanying the patient and other f! actors 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 decisive 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, vow it on our website: BestEssayCheap.com

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