Interfacility Transport of Mechanically Ventilated Patients with Suspected COVID-19 in the Prone Position
| Autor: | Andy Pan, Michael Peddle, Patrick Auger, Daryl Parfeniuk, Russell D. MacDonald |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Prehospital Emergency Care. 27:287-292 |
| ISSN: | 1545-0066 1090-3127 |
| DOI: | 10.1080/10903127.2022.2036882 |
| Popis: | Prone positioning during mechanical ventilation in patients with severe respiratory failure is an important intervention with both physiologic and empiric rationale for its use. This study describes a consecutive cohort of patients with severe hypoxemic respiratory failure due to COVID-19 who were transported in the prone position in order to determine the incidence of serious adverse events (SAEs) during transport.This retrospective study used prospectively collected data from a provincial air and land critical care transport system where specially trained critical care paramedic crews transported intubated and mechanically ventilated patients with COVID-19 in the prone position. SAEs were determined a priori, and included markers of new hemodynamic or respiratory instability, new resuscitative measures, and equipment or vehicle malfunction. Two authors independently reviewed each patient care record to identify SAEs during transport, and the ability of the crews to successfully manage such events.From April 2020 to June 2021, 127 intubated and mechanically ventilated patients were transported in the prone position. Of these, 117 were transported by land vehicle, 7 by rotor-wing, and 3 by fixed wing aircraft. 67 (52.8%) were vasopressor-dependent, 5 (3.9%) were receiving inhaled vasodilators, 9 (7.1%) were hypoxic (SpOPatients with severe hypoxemic respiratory failure due to COVID-19 can be safely transported in the prone position by specially trained critical care paramedic crews. |
| Databáze: | OpenAIRE |
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