Safety in intrahospital transportation: evaluation of respiratory and hemodynamic parameters. A prospective cohort study

Sao Paulo Medical Journal

Bruno Franco Mazza¹  José Luiz Gomes Do Amaral¹  Heloisa Rosseti¹  Rosana Borges Carvalho¹  Ana Paula Resque Senna¹  Hélio Penna Guimarães¹  Flavia Ribeiro Machado¹ 

[1] ,Universidade Federal de São Paulo Escola Paulista de Medicina São Paulo,Brazil

关键词: Patient transfer;    Transportation of patients;    Respiration;    artificial;    Positive-pressure respiration;    Pulmonary ventilation;    Intermittent positive-pressure ventilation;    Transferência de pacientes;    Transporte de pacientes;    Respiração artificial;    Respiração com pressão positiva;    Ventilação pulmonar;    Ventilação com pressão positiva intermitente;   

DOI  :  10.1590/S1516-31802008000600005

来源: SciELO

【 摘 要 】

CONTEXT AND OBJECTIVE: Intrahospital transportation of mechanically ventilated patients is a high-risk situation. We aimed to determine whether transfers could be safely performed by using a transportation routine. DESIGN AND SETTING: Prospective cohort study with "before and after" evaluation. METHODS: Mechanically ventilated patients who needed transportation were included. Hemodynamic and respiratory parameters were measured before and after transportation. Statistical analysis consisted of variance analysis and paired Student's t test. Results were considered significant if P < 0.05. RESULTS: We studied 37 transfers of 26 patients (12 female) of mean age 46.6 ± 15.7. Patients with pulmonary diseases, positive end expiratory pressure > 5, FiO2 > 0.4 and vasoactive drug use comprised 42.4%, 24.3%, 21.6% and 33.0% of cases, respectively. Mean duration of transportation was 43.4 ± 18.9 minutes. Complications occurred in 32.4%. There was a significant increase in CO2 (before transportation, 29.6 ± 7.3 and after transportation, 34.9 ± 7.0; P = 0.000); a trend towards improved PO2/FiO2 ratio (before transportation, 318.0 ± 137.0 and after transportation, 356.8 ± 119.9; P = 0.053); increased heart rate (before transportation, 80.9 ± 18.7 and after transportation, 85.5 ± 17.6; P = 0.08); and no significant change in mean arterial blood pressure (P = 0.93). CONCLUSION: These results suggest that intrahospital transportation can be safely performed. Our low incidence of complications was possibly related to both the presence of a multidisciplinary transportation team and proper equipment.

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