Format

Send to

Choose Destination
Sao Paulo Med J. 2008 Nov;126(6):319-22.

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

Author information

1
Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.

Abstract

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.

PMID:
19274318
[Indexed for MEDLINE]
Free full text

Supplemental Content

Full text links

Icon for Scientific Electronic Library Online
Loading ...
Support Center