Air transport of the IABP patient

Hatlestad, Daniel C.; Horn, J.

doi:10.1016/s1067-991x(02)70005-9

Cited by 7 publications

(3 citation statements)

References 5 publications

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“… Severe trauma patients with penetrating chest injuries, multisystem injuries, crush injuries, age less than 12 years or more than 55 years or patients with unstable vital signs Patients with acute coronary syndrome in urgent need of revascularisation procedure, cardiac tamponade with haemodynamic compromise, cardiogenic shock in need of intra-aortic balloon pump or other assist devices Patients due to receive organ transplant Critically ill high-risk medical or surgical patients, for example, those on high vasopressors, special modes of ventilation, requiring hyperbaric oxygen therapy or with surgical emergencies such as aortic dissection with haemodynamic compromise. [ 20 21 22 ] …”

Section: Key Elements Of Patient Transfermentioning

confidence: 99%

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Inter-hospital and intra-hospital patient transfer: Recent concepts

2016

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The intra- and inter-hospital patient transfer is an important aspect of patient care which is often undertaken to improve upon the existing management of the patient. It may involve transfer of patient within the same facility for any diagnostic procedure or transfer to another facility with more advanced care. The main aim in all such transfers is maintaining the continuity of medical care. As the transfer of sick patient may induce various physiological alterations which may adversely affect the prognosis of the patient, it should be initiated systematically and according to the evidence-based guidelines. The key elements of safe transfer involve decision to transfer and communication, pre-transfer stabilisation and preparation, choosing the appropriate mode of transfer, i.e., land transport or air transport, personnel accompanying the patient, equipment and monitoring required during the transfer, and finally, the documentation and handover of the patient at the receiving facility. These key elements should be followed in each transfer to prevent any adverse events which may severely affect the patient prognosis. The existing international guidelines are evidence based from various professional bodies in developed countries. However, in developing countries like India, with limited infrastructure, these guidelines can be modified accordingly. The most important aspect is implementation of these guidelines in Indian scenario with periodical quality assessments to improve the standard of care.

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Section: Key Elements Of Patient Transfermentioning

confidence: 99%

“…Critically ill high-risk medical or surgical patients, for example, those on high vasopressors, special modes of ventilation, requiring hyperbaric oxygen therapy or with surgical emergencies such as aortic dissection with haemodynamic compromise. [ 20 21 22 ]…”

Section: Key Elements Of Patient Transfermentioning

confidence: 99%

Inter-hospital and intra-hospital patient transfer: Recent concepts

2016

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“…The critical conditions where air transport is commonly used include patients on vasopressors, ventricular assist device or sophisticated ventilator support; patients in urgent need of hyperbaric oxygen therapy (carbon monoxide poisoning, vascular gas embolism) or toxicology services (severe poisoning, drug overdose) or emergency dialysis; surgical emergencies such as aortic dissection or gastrointestinal hemorrhage with hemodynamic instability. [53545556] …”

Section: Modes Of Transfermentioning

confidence: 99%

When place and time matter: How to conduct safe inter-hospital transfer of patients

Sethi

Subramanian

2014

Saudi J Anaesth

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Inter-hospital transfer (IHT) of patients is often needed for diagnostic or therapeutic interventions. However, the transfer process carries its own risks as a poorly and hastily conducted transfer could lead to adverse events. In this article, we have reviewed literature on the key elements of IHT process including pre-transfer patient stabilization. We have also discussed various modes of transfer, physiological effects of transfer, possible adverse events and how to avoid or mitigate these. Even critically ill-patients can be transported safely by experienced and trained personnel using appropriate equipment. The patient must be maximally stabilized prior to transfer though complete optimization may be possible only at the receiving hospital. Ground or air transport may be employed depending on the urgency, feasibility and availability. Meticulous pre-transfer check and adherence to standard protocols during the transfer will help keep the entire process smooth and event free. The transport team should be trained to anticipate and manage any possible adverse events, medical or technical, during the transfer. Coordination between the referring and receiving hospitals would facilitate prompt transfer to the definitive destination avoiding delay at the emergency or casualty. Documentation of the transfer process and transfer of medical record and investigation reports are important for maintaining continuity of medical care and for medico-legal purposes.

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Intra-aortic Balloon Counterpulsation

Turi¹

2008

Critical Care Medicine

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Air transport of the IABP patient

Cited by 7 publications

References 5 publications

Inter-hospital and intra-hospital patient transfer: Recent concepts

Inter-hospital and intra-hospital patient transfer: Recent concepts

When place and time matter: How to conduct safe inter-hospital transfer of patients

Intra-aortic Balloon Counterpulsation

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