Complications and benefits of intrahospital transport of adult Intensive Care Unit patients
| Autor: | S Janarthanan, Harish K Chaudhary, Natesh R Prabu, Suhail Sarwar Siddiqui, Jigeeshu V Divatia, Atul P Kulkarni, M M Harish |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Complications Critically ill business.industry critically ill medicine.medical_treatment 030208 emergency & critical care medicine Endotracheal intubation 030204 cardiovascular system & hematology Critical Care and Intensive Care Medicine Tertiary care Intensive care unit law.invention 03 medical and health sciences 0302 clinical medicine Adult intensive care unit law medicine Cardiopulmonary resuscitation Adverse effect Intensive care medicine business intrahospital transport Central venous catheter Research Article |
| Zdroj: | Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine |
| ISSN: | 1998-359X 0972-5229 |
| DOI: | 10.4103/0972-5229.188190 |
| Popis: | Background: The transport of critically ill patients for procedures or tests outside the Intensive Care Unit (ICU) is potentially hazardous; hence, the transport process must be organized and efficient. Plenty of data is available on pre- and inter-hospital transport of patients; the data on intrahospital transport of patients are limited. We audited the complications and benefits of intrahospital transport of critically ill patients in our tertiary care center over 6 months. Materials and Methods: One hundred and twenty adult critically ill cancer patients transported from the ICU for either diagnostic or therapeutic procedure over 6 months were included. The data collected include the destination, the accompanying person, total time spent outside the ICU, and any adverse events and adverse change in vitals. Results: Among the 120 adult patients, 5 (4.1%) required endotracheal intubation, 5 (4.1%) required intercostal drain placement, and 20 (16.7%) required cardiopulmonary resuscitation (CPR). Dislodgement of central venous catheter occurred in 2 (1.6%) patients, drain came out in 3 (2.5%) patients, orogastric tube came out in 1 (0.8%) patient, 2 (1.6%) patients self-extubated, and in one patient, tracheostomy tube was dislodged. The adverse events were more in patients who spent more than 60 min outside the ICU, particularly requirement of CPR (18 [25%] vs. 2 [4.2%], ≤60 min vs. >60 min, respectively) with P < 0.05. Transport led to change in therapy in 32 (26.7%) patients. Conclusion: Transport in critically ill cancer patients is more hazardous and needs adequate pretransport preparations. Transport in spite being hazardous may lead to a beneficial change in therapy in a significant number of patients. |
| Databáze: | OpenAIRE |
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