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Interhospital transport of critically ill patient with dedicated ICU ventilator
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine volume 17, Article number: O21 (2009)
Introduction
Emilia Romagna is a region caracterized by the presence of Three Integrated Trauma Systems Care (ITSC). Severe, resource-consuming patients are centralized in first level Hubs to guarantee high quality and efficient care. Every ITSC has a Trauma Center (Hub) connected with a net of peripheral hospitals (Spokes). A Helicopter Emergency Medical Service (HEMS) has been active since June 14 1986 at the Ospedale Maggiore, it covers most of the Bologna and Modena region and part of Ferrara, in addition to this, a new Trauma Center specialized in pediatric patients is developing outside the region. This means transfer times of atleast 50 to 60 minutes by helicopter to consent patients to move from an Intensive Care Unit (ICU) to another. Obviously the HEMS play a fundamental role in such a setting.
Methods
Our HEMS counts numerous interhospital transfers of adult patients with respiratory failure and pediatric patients that needed respiratory assistance with high performance ventilators. Patients with severe respiratory failure may have to remain on an ICU ventilator throughout the whole transport period anyway transport ventilators may not be adequate for certain age groups in pediatric patients. We would like to show how we faced the necessity of transporting acute but stable patiets, using a system that enables us to embark a high performance ventilator and a multi-parametric monitor in a safe and quick manner. We will discuss the equipment assemblage, methods and techniques of intensive care in the critical patient in this setting.
Conclusion
Our experienced medical team has demonstrated to safely transport even the most critically ill patients if the care is optimized before departure.
References
Beninati W, Meyer MT, Carter TE: The critical care air transport program. Crit Care Med. 2008, 36 (7 Suppl): S370-376. 10.1097/CCM.0b013e31817e3143.
Kashani KB, Farmer JC: The support of severe respiratory failure beyond the hospital and during transportation. Curr Opin Crit Care. 2006, 12: 43-49. 10.1097/01.ccx.0000198057.35212.3e.
Norton R, Wortman E, Eastes L, Daya M, Hedges J, Hoyt J: Appropriate helicopter transport of urban trauma patients. J Trauma. 1996, 41: 886-891. 10.1097/00005373-199611000-00022.
Dunn EL, Berry PH, Cross RE: Community hospital to trauma center. J Trauma. 1986, 26: 733-777. 10.1097/00005373-198608000-00009.
Reynolds HN, Habashi NM, Cottingham CA, Frawley PM, McCunn M: Interhospital transport of the adult mechanically ventilated patient. Respir Care Clin N Am. 2002, 8: 37-50. 10.1016/S1078-5337(02)00015-1.
van Lieshout EJ, Vroom MV: ICU Transport. Chest. 2005, 127: 688-689. 10.1378/chest.127.2.688.
Fuchs BD, Reily DJ, Tollok E, Mallitz K, Hanson CW: Successful Aeromedical Transport Using Inhaled Prostacyclin for a Patient With Life-Threatening Hypoxemia*. Chest. 2004, 125: 1579-1581. 10.1378/chest.125.4.1579.
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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/2.0 ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Vacchi, R., Santoro, E., Giugni, A. et al. Interhospital transport of critically ill patient with dedicated ICU ventilator. Scand J Trauma Resusc Emerg Med 17 (Suppl 3), O21 (2009). https://doi.org/10.1186/1757-7241-17-S3-O21
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DOI: https://doi.org/10.1186/1757-7241-17-S3-O21
Keywords
- Pediatric Patient
- Respiratory Failure
- Transfer Time
- Emergency Medical
- Trauma System