Intrahospital transport of patients on invasive ventilation: cardiorespiratory repercussions and adverse events.
OBJECTIVE
To determine the occurrence of cardiorespiratory alterations and to identify adverse events during the intrahospital transport of patients on invasive ventilation.


METHODS
A prospective observational non-randomized study was conducted at two tertiary hospitals between April of 2005 and December of 2006. We included patients on invasive ventilation who required intrahospital transport during the study period. Exclusion criteria were as follows: being under suspicion of brain death; being submitted to alternate periods of mechanical ventilation/nebulization via a T-piece; and being transported to the operating room. Prior to and after transport, we evaluated blood gas analysis results, vital signs, use of medications by means of a continuous infusion pump, parameters regarding the mechanical ventilator, duration of transport, transport distance and number of professionals involved.


RESULTS
We included 48 patients in a total of 58 intrahospital transports. Relevant cardiorespiratory alterations were identified in 39 transports, totaling 86 episodes, as well as 16 adverse events related to equipment or personnel failure, such as problems related to batteries and to miscommunication.


CONCLUSIONS
During the intrahospital transport of patients on invasive ventilation, cardiorespiratory alterations were common (67.2%), and adverse events occurred in 75.7% of the transports.
Zuchelo
Lea Tami Suzuki
LT
Santa Casa School of Medical Sciences, São Paulo, São Paulo, Brazil. leasuzuki@yahoo.com
Chiavone
Paulo Antônio
PA
D018806:APACHE; D000328:Adult; D000368:Aged; D001784:Blood Gas Analysis; D001794:Blood Pressure / Q000502:physiology; D002318:Cardiovascular Diseases / Q000503:physiopathology*; D003422:Critical Care; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D008875:Middle Aged; D008991:Monitoring, Physiologic; D010360:Patient Transfer; D011446:Prospective Studies; D012121:Respiration, Artificial; D055815:Young Adult