Intrahospital transport of the adult mechanically ventilated patient.
As the diagnosis and treatment of critically ill patients continues to advance, the frequency of intrahospital transport of ventilator-dependent patients increases. Once the risks and benefits of transport are established, even the sickest ICU patient can be transported safely when adequate time is taken and preparations are made before beginning the transport. Patients should be stabilized as much as possible and monitored before, during, and after transport. Those responsible for the patient should be trained to provide a safe outcome. This necessitates that caregivers receive education in patient evaluation, potential risks, complications, interventions, equipment operation, and troubleshooting that may be necessary when caring for ventilated patients outside the ICU. All members of the transport team should communicate effectively and be aware of their roles in the transport process to minimize delays and mishaps during transport and at the final destination. Written policies that define the level of personnel, level of training, level of support, and equipment necessary can facilitate the transport process. When choosing a device to provide ventilation, the patient's clinical condition should be determine which method is used for transport.
University Hospital Respiratory Care, Critical Care Support Services, University of Michigan Health System, Ann Arbor 48109, USA.
Valerie Willis
VW
Stevenson
Carl F
CF
Haas
Wendy L
WL
Wahl
D000328:Adult; D016638:Critical Illness / Q000401:mortality / Q000628:therapy; D004636:Emergency Service, Hospital; D005260:Female; D017408:Guidelines as Topic; D017052:Hospital Mortality / Q000639:trends; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D009873:Operating Rooms; D010360:Patient Transfer / Q000592:standards* / Q000706:statistics & numerical data; D018570:Risk Assessment; D012307:Risk Factors; D012680:Sensitivity and Specificity