Should a Portable Ventilator Be Used in All In-Hospital Transports?

Holets, Steven R; Davies, John Dwyfor

doi:10.4187/respcare.04745

Cited by 13 publications

(7 citation statements)

References 52 publications

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“…This finding shows that although there was an increase in the PaCO 2 , it remained within acceptable levels, suggesting that manual ventilation with an MRB at CHBAH may not be injurious as described in some studies. [13,14,21] The results of this study are consistent with studies by Rajasekaram et al [22] and O'Brien et al, [23] who found that there was no clinical difference in the patients who were manually ventilated compared with those who were mechanically ventilated, despite there being a statistically significant change in the PaCO 2 and expired end-tidal CO 2 , respectively.…”

Section: Discussionsupporting

confidence: 90%

Carbon dioxide levels of ventilated adult critically ill post-operative patients on arrival to the intensive care unit

Slave

Scribante

Perrie

et al. 2023

South Afr J Crit Care

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Background. The transportation of critically ill patients presents a precarious situation in which adverse events may occur. At Chris Hani Baragwanath Academic Hospital (CHBAH) patients were manually ventilated using a manual resuscitator bag during transportation from theatre to the intensive care unit (ICU).Objectives. To evaluate the arterial partial pressure of carbon dioxide (PaCO2) levels of ventilated adult critically ill post-operative patients on arrival at the ICU at CHBAH. Methods. This was a cross-sectional study using convenience sampling. Pre- and post-transportation arterial blood gases were obtained from 47 patients. Results. There was a statistically significant difference in the pre- and post-transport PaCO2 level (p=0.03), with a mean difference of 3.3 mmHg. The pre- and post-transport arterial partial pressure of oxygen (PaO2) level (p≤0.001) and the week and weekend pre-transport (p≤0.001) and post-transport (p=0.01) PaCO2 were statistically significantly different. No statistically significant difference was found in the other arterial blood gas parameters or in the post-transport PaCO2 of those patients (26 (55.3%)), who received a neuromuscular blocking drug compared with those that did not. Adverse events were noted during 12 (25.6%) of the transports, 5 (41.7%) of which were patient-related, and 7 (58.3%) of which were infrastructure-related. Conclusion. There was a statistically but not clinically significant difference in the pre- and post-transport PaCO2 level and between week and weekend transportations. Hypercarbia was the most common derangement in all transports. Adverse events occurred during one-quarter of transportations. Keywords: manual resuscitation bag ventilation, transportation of critically ill patients, carbon dioxide levels

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Section: Discussionsupporting

confidence: 90%

Carbon dioxide levels of ventilated adult critically ill post-operative patients on arrival to the intensive care unit

Slave

Scribante

Perrie

et al. 2023

South Afr J Crit Care

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“…The hemodynamic effects of mechanical ventilation are complex and may affect HR, preload, afterload, and blood pressure [7, 8]. The circulatory effects of mechanical ventilation can be dangerous during patient transport [9]. However, our study showed no significant differences in vital signs before versus after transport in critically ill mechanically ventilated patients with LPR.…”

Section: Discussionmentioning

confidence: 62%

Efficacy and Complications of Life-Control Portable Resuscitator for Transport of In-Hospital Patients

Afacan

Erdogan

Algın

et al. 2019

Emergency Medicine International

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Aim. Equipment used for in-hospital patient transfers should be safe for the patient, inexpensive, and easy to use. Disposable mechanical ventilators are a reasonable choice for in-hospital transfers. Life-control Portable Resuscitator (LPR) is a gas-powered automatic resuscitator designed for short-term ventilation during the transport of critically ill mechanically ventilated patients. The aim of this study was to investigate the efficacy and safety of, and complications associated with, the LPR. Materials and Methods. A total of 77 (age > 18 years) critically ill mechanically ventilated emergency service patients transported to in-hospital units with an LPR were included in this study. Categorical variables are presented as frequencies (numbers and percentages), and continuous variables are presented as means ± standard deviation with corresponding 95% confidence intervals (CIs). Paired-sample t-tests were used to analyze normally distributed variables. Results. Vital signs showed no significant difference after transport. After transport mean pH, PaCO2, and lactate levels of all patients increased statistically significantly and approached normal range values. PaO2 levels increased significantly after transport. HCO3, PIP, and BE showed no significant difference after transport. Device-related complications during transport included O2 cable disconnection (11.6%), device failure (2.59%), vomiting (1.2%), and extubation (2.59%). Conclusion. In our study group, the LPR was reliable according to the vital signs and blood gas analyses, although these devices should be used only by skilled personnel due to the possible risk of complications during transport.

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“…It is frequently used during the transfer to the hospital and during the transport from the EDs to the ICUs and diagnostic procedures. Complications such as hyperventilation and respiratory alkalosis might occur during manual ventilation, 12 and it might cause lung damage due to excessive ventilation 13 …”

Section: Features Of Mechanical Ventilatorsmentioning

confidence: 99%

Invasive mechanical ventilation in the emergency department

Bayram

Şancı

2019

Turkish Journal of Emergency Medicine

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Emergency department (ED) lenght of stay of the patients requiring admission to the intensive care units has increased gradually in recent years. Mechanical ventilation is an integral part of critical care and mechanically ventilated patients have to be managed and monitored by emergency physicians for longer than expected in EDs. This early period of care has significant impact on the outcomes of these patients. Therefore, emergency physicians should have comprehensive knowledge of mechanical ventilation. This review will summarize the current literature of the basic concepts, appropriate clinical applications, monitoring parameters, components and mechanisms of mechanical ventilation in the ED.

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Should a Portable Ventilator Be Used in All In-Hospital Transports?

Cited by 13 publications

References 52 publications

Carbon dioxide levels of ventilated adult critically ill post-operative patients on arrival to the intensive care unit

Carbon dioxide levels of ventilated adult critically ill post-operative patients on arrival to the intensive care unit

Efficacy and Complications of Life-Control Portable Resuscitator for Transport of In-Hospital Patients

Invasive mechanical ventilation in the emergency department

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