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Intrahospital transport of critically ill patients using ventilator with patient-triggering function.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Nakamura, Toshiaki Fujino, Yuji Uchiyama, Akinori Mashimo, Takashi Nishimura, Masaji |
| Copyright Year | 2003 |
| Abstract | OBJECTIVE To compare a new transport ventilator to manual ventilation in terms of maintaining the respiratory and hemodynamic levels of critically ill patients. DESIGN Prospective, randomized, single-center study. SETTING ICU in a university hospital. PATIENTS A total of 16 patients (22 transports) who were spontaneously breathing and required ventilatory assistance on excursions from the ICU. METHODS For each transport, the patient was randomly assigned to receive either manual ventilation (group M) or mechanical ventilation (group V). For transports in group V, the ventilators were set the same as in the ICU. Respiratory and hemodynamic variables were measured 30 min before transport (T(0)), on arrival at the site of procedure (T(1)), on return to the ICU (T(2)), and 30 min after return the ICU (T(3)). RESULTS After transport, five patients in group M showed a significant deterioration in PaO(2)/fraction of inspired oxygen ratio, while one patient in group V showed deterioration (p = 0.056). The mean (+/- SD) respiratory rate in group M at T(2) (32 +/- 9 breaths/min) was significantly higher (p < 0.001) than at T(0) (19 +/- 6 breaths/min) and also was higher (p < 0.01) than in group V at T(2) (19 +/- 6 breaths/min). The mean tidal volume and positive end-expiratory pressure in group M at T(2) showed significantly larger variation (p < 0.05 and p < 0.001, respectively) than in group V. CONCLUSIONS The transport ventilator that was recently approved by the US Food and Drug Administration reliably provides more stable ventilatory support than does manual ventilation. Generally, the use of this transport ventilator for intrahospital transport is preferable to manual ventilation. |
| Starting Page | 289 |
| Ending Page | 292 |
| Page Count | 4 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://journal.publications.chestnet.org/pdfaccess.ashx?url=/data/journals/chest/21987/159.pdf |
| PubMed reference number | 12527617v1 |
| Volume Number | 123 |
| Issue Number | 1 |
| Journal | Chest |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Critical Illness Expiration, function Hemodynamics Hospitals, University Inspiration function Large Mechanical ventilation Mobility aid Oxygen Patients PersonNameUse - assigned Physiological Sexual Disorders Portion of respiratory air Respiration Ventilator - respiratory equipment breaths per minute intensive care unit |
| Content Type | Text |
| Resource Type | Article |
