Intrahospital transport of critically ill patients.

Abstract:

:Severe complications sometimes occur in critically ill patients during intrahospital transport. Possible causes may be inadequate ventilation, insufficient monitoring, interrupted application of vasoactive drugs, or disconnections and accidental extubation. We constructed a transport unit equipped with a respirator; capnometer; monitor to measure ECG, arterial and intracranial pressures, and temperature; and two syringe pumps that can be connected easily to the patient's bed. Gas is supplied by cylinders with oxygen and air. Electrical power is supplied by two accumulators connected to recharger and transformer devices that deliver 220 V (110 V). Since this transfer unit was introduced, we have had no unanticipated problems during intrahospital ICU patient transport.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Link J,Krause H,Wagner W,Papadopoulos G

doi

10.1097/00003246-199012000-00024

subject

Has Abstract

pub_date

1990-12-01 00:00:00

pages

1427-9

issue

12

eissn

0090-3493

issn

1530-0293

journal_volume

18

pub_type

杂志文章
  • Changes in conjunctival oxygen tension and temperature with advancing age.

    abstract::The conjunctival oxygen monitor reflects oxygen tension of the internal carotid artery without introducing the heating artifact characteristic of transcutaneous monitors. It is now being used in the ICU and the operating room to measure accurately and continuously Po2 and temperature of conjunctival tissue. We examine...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198508000-00016

    authors: Isenberg SJ,Green BF

    更新日期:1985-08-01 00:00:00

  • Reduced rate of bacterial translocation and improved variables of natural killer cell and T-cell activity in rats surviving controlled hemorrhagic shock and treated with hypertonic saline.

    abstract:OBJECTIVE:To examine the effect of hypertonic saline on bacterial translocation and the number and function of natural killer and T cells in controlled hemorrhagic shock. DESIGN:Randomized controlled study. Duration of follow-up was 24 hrs. SETTING:University research laboratory. SUBJECTS:Adult male Sprague-Dawley r...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200204000-00025

    authors: Hirsh M,Dyugovskaya L,Bashenko Y,Krausz MM

    更新日期:2002-04-01 00:00:00

  • Fiber atrophy, but not changes in acetylcholine receptor expression, contributes to the muscle dysfunction after immobilization.

    abstract:OBJECTIVES:Muscle weakness associated with critical illness can be due to the illness itself, immobilization associated with it, and/or to concomitant use of drugs that affect neuromuscular transmission. This study investigated the contribution of immobilization per se to the muscle dysfunction, as well as the associat...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199902000-00031

    authors: Ibebunjo C,Martyn JA

    更新日期:1999-02-01 00:00:00

  • Effects of dobutamine and norepinephrine on oxygen availability in tamponade-induced stagnant hypoxia: a prospective, randomized, controlled study.

    abstract:OBJECTIVES:To explore the effects of dobutamine and norepinephrine on the global cardiovascular response and on the relationship between oxygen uptake (VO2) and oxygen delivery (DO2) during an acute reduction in blood flow associated with tamponade. DESIGN:Prospective, randomized, controlled acute intervention study. ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199402000-00022

    authors: Zhang H,Spapen H,Vincent JL

    更新日期:1994-02-01 00:00:00

  • Propofol does not induce pulmonary dysfunction in stressed endotoxic pigs receiving Intralipid.

    abstract:OBJECTIVE:To assess the effect of diisopropyl phenol (propofol), with and without Intralipid, on the cardiopulmonary system and on thromboxane production in endotoxic pigs. DESIGN:Prospective, randomized animal study. SETTING:Animal research laboratory at a major teaching hospital. SUBJECTS:Twenty-four pigs, divided...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000070445.76287.6E

    authors: Ziser A,Strickland RA,Murray MJ

    更新日期:2003-07-01 00:00:00

  • Treatment of multifocal atrial tachycardia with metoprolol.

    abstract::We used metoprolol orally or iv in 25 patients with multifocal atrial tachycardia that was complicating severe cardiopulmonary illness, and we observed its effect on heart rate and rhythm, BP, and arterial blood gases. All patients showed a dramatic slowing of heart rate, averaging 54.0 +/- 4.0 beat/min (p less than ....

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198701000-00004

    authors: Hazard PB,Burnett CR

    更新日期:1987-01-01 00:00:00

  • Effect of intra-alveolar meconium on pulmonary surface tension properties.

    abstract::To evaluate the effect of meconium on pulmonary surface tension properties, the mechanics of 30 excised, separated canine pulmonary lobes were studied. Meconia were blended in normal saline to produce solutions of 10% and 20%. Solutions were filtered to remove large particles and instilled endobronchially into the can...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198504000-00005

    authors: Chen CT,Toung TJ,Rogers MC

    更新日期:1985-04-01 00:00:00

  • Withdrawal and withholding of life support in the intensive care unit: a comparison of teaching and community hospitals. The Southwestern Ontario Critical Care Research Network.

    abstract:OBJECTIVES:To compare the incidence of withdrawal or withholding of life support (WD/WHLS), and to identify similarities and differences in the process of the withdrawal of life support (WDLS) between teaching and community hospitals' intensive care units (ICUs). DESIGN:Prospective cohort study, with some data obtaine...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199802000-00018

    authors: Keenan SP,Busche KD,Chen LM,Esmail R,Inman KJ,Sibbald WJ

    更新日期:1998-02-01 00:00:00

  • Predictors of noninvasive ventilation failure in patients with hematologic malignancy and acute respiratory failure.

    abstract:OBJECTIVES:The current trend to manage critically ill hematologic patients admitted with acute respiratory failure is to perform noninvasive ventilation to avoid endotracheal intubation. However, failure of noninvasive ventilation may lead to an increased mortality. DESIGN:Retrospective study to determine the frequenc...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e31818699f6

    authors: Adda M,Coquet I,Darmon M,Thiery G,Schlemmer B,Azoulay E

    更新日期:2008-10-01 00:00:00

  • Impact of Initial Central Venous Pressure on Outcomes of Conservative Versus Liberal Fluid Management in Acute Respiratory Distress Syndrome.

    abstract:OBJECTIVES:In acute respiratory distress syndrome, conservative fluid management increases ventilator-free days without affecting mortality. Response to fluid management may differ based on patients' initial central venous pressure. We hypothesized that initial central venous pressure would modify the effect of fluid m...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000001555

    authors: Semler MW,Wheeler AP,Thompson BT,Bernard GR,Wiedemann HP,Rice TW,National Institutes of Health National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome Network.

    更新日期:2016-04-01 00:00:00

  • Variability of cardiac output over time in medical intensive care unit patients.

    abstract:OBJECTIVES:To determine the amount of spontaneous variability of cardiac output over time in critically ill patients, and to determine the effect of mechanical ventilation on cardiac output variability over time. DESIGN:Case series. SETTING:Medical intensive care unit in a Veterans Affairs Medical Center. PATIENTS:T...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199402000-00012

    authors: Sasse SA,Chen PA,Berry RB,Sassoon CS,Mahutte CK

    更新日期:1994-02-01 00:00:00

  • Steady-state pharmacokinetics of dopamine in adult patients.

    abstract:OBJECTIVE:To study the pharmacokinetics of dopamine in hemodynamically stable adult patients. DESIGN:Prospective clinical study. SETTING:University hospital intensive care unit. PATIENTS:Fourteen patients (aged 43 to 73 yrs) recovering from esophageal surgery. INTERVENTION:Dopamine was infused and blood samples wer...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199311000-00013

    authors: Le Corre P,Malledant Y,Tanguy M,Le Verge R

    更新日期:1993-11-01 00:00:00

  • Oxygen transport in newborn piglets with pulmonary hypertension.

    abstract::Because of the neonate's susceptibility to pulmonary hypertension (PHN) and his inefficiency in invoking the compensatory mechanisms often used by adults to maintain stable levels of O2 consumption (VO2) in the face of changes in O2 delivery (DO2) and metabolic demand, we have attempted to define the O2 handling capab...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198808000-00008

    authors: Hammerman C,Komar K,Abu-Khudair H,Olsen T

    更新日期:1988-08-01 00:00:00

  • Functional residual capacity measurement by heptafluoropropane in ventilated newborn lungs: in vitro and in vivo validation.

    abstract:OBJECTIVE:Heptafluoropropane is an inert gas commercially used as propellant for inhalers. Since heptafluoropropane can be detected in low concentrations, it could also be used as a tracer gas to measure functional residual capacity and ventilation homogeneity. The aim of the present study was to validate functional re...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000220065.93507.AB

    authors: Proquitté H,Kusztrich A,Auwärter V,Pragst F,Wauer RR,Schmalisch G

    更新日期:2006-06-01 00:00:00

  • Inhaled isoflurane sedation during therapeutic hypothermia after cardiac arrest: a case series.

    abstract:OBJECTIVE:Therapeutic hypothermia in the ICU requires mechanical ventilation and sedation. Hypothermia reduces the metabolism of commonly used IV sedatives. The use of long-acting sedative agents may confound neurologic assessment. Volatile anesthetics have been reported to provide protection against ischemia-reperfusi...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e3182a643d7

    authors: Hellström J,Öwall A,Martling CR,Sackey PV

    更新日期:2014-02-01 00:00:00

  • A meta-analysis of three decades of validating thoracic impedance cardiography.

    abstract:OBJECTIVE:To provide a meta-analysis of current literature concerning the validation of thoracic impedance cardiography (TIC) and to explain the variations in the reported results from the differences in the studies. DATA SOURCES:A computer-assisted search of English-language, German, and Dutch literature was performe...

    journal_title:Critical care medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/00003246-199906000-00053

    authors: Raaijmakers E,Faes TJ,Scholten RJ,Goovaerts HG,Heethaar RM

    更新日期:1999-06-01 00:00:00

  • Are autopsy findings still relevant to the management of critically ill patients in the modern era?

    abstract:OBJECTIVES:The purpose of this study was to determine the accuracy of clinical diagnoses compared to autopsy findings in critically ill patients in the current medical era. DESIGN:We conducted a retrospective, blinded review of matched medical records and postmortem findings in patients who died between June 2006 and ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e3182a275b1

    authors: Fröhlich S,Ryan O,Murphy N,McCauley N,Crotty T,Ryan D

    更新日期:2014-02-01 00:00:00

  • Bulk diffusion apnea test in the diagnosis of brain death.

    abstract:OBJECTIVE:To assess the efficacy of bulk diffusion in maintaining oxygenation during apnea testing for brain death. DESIGN:Case series. SETTING:ICU in a primary care hospital. PATIENTS:Twenty-four consecutive patients with suspected brain death. Most patients suffered cerebral trauma from vehicular accidents. INTER...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199211000-00014

    authors: al Jumah M,McLean DR,al Rajeh S,Crow N

    更新日期:1992-11-01 00:00:00

  • Continuous Versus Intermittent Infusion of Vancomycin and the Risk of Acute Kidney Injury in Critically Ill Adults: A Systematic Review and Meta-Analysis.

    abstract:OBJECTIVES:Critically ill patients routinely receive vancomycin as empiric antibiotic therapy. A continuous infusion administration strategy may be superior to intermittent infusion by minimizing peak concentrations and variability thereby optimizing safety. We performed a systematic review and meta-analysis to investi...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000004326

    authors: Flannery AH,Bissell BD,Bastin MT,Morris PE,Neyra JA

    更新日期:2020-06-01 00:00:00

  • Cardiovascular function during the postresuscitation phase after cardiac arrest in pigs: a comparison of epinephrine versus vasopressin.

    abstract:OBJECTIVE:The administration of vasopressin during cardiopulmonary resuscitation (CPR) provides significantly more vital organ blood flow when compared with epinephrine during cardiac arrest in pigs. The effects of this potent vasoconstrictor on postresuscitation cardiovascular function remain unknown. The purpose of t...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199612000-00014

    authors: Prengel AW,Lindner KH,Keller A,Lurie KG

    更新日期:1996-12-01 00:00:00

  • Outcome of mechanically ventilated patients who require a tracheostomy.

    abstract:OBJECTIVE:To estimate the prevalence of, the risk factors associated with, and the outcome of tracheostomy in a heterogeneous population of mechanically ventilated patients. DESIGN:Prospective, observational cohort study. SETTING:A total of 361 intensive care units from 12 countries. PATIENTS:A cohort of 5,081 patie...

    journal_title:Critical care medicine

    pub_type: 评论,杂志文章,多中心研究

    doi:10.1097/01.ccm.0000150026.85210.13

    authors: Frutos-Vivar F,Esteban A,Apezteguía C,Anzueto A,Nightingale P,González M,Soto L,Rodrigo C,Raad J,David CM,Matamis D,D' Empaire G,International Mechanical Ventilation Study Group.

    更新日期:2005-02-01 00:00:00

  • Influence of aminosteroid and glucocorticoid treatment on inflammation and immune function during cardiopulmonary bypass.

    abstract:OBJECTIVE:During cardiopulmonary bypass, inflammation and immunosuppression is present. We measured circulating mediators and monocyte-based functions and tested the hypothesis that these variables are influenced by methylprednisolone (MP) or tirilazad mesylate (TM) treatment. DESIGN:Randomized, controlled, double-bli...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00003246-200111000-00015

    authors: Volk T,Schmutzler M,Engelhardt L,Döcke WD,Volk HD,Konertz W,Kox WJ

    更新日期:2001-11-01 00:00:00

  • Patient experiences during respirator treatment--reason for intermittent positive-pressure ventilation treatment and patient awareness in the intensive care unit.

    abstract::Patient awareness of intermittent positive-pressure ventilation (IPPV) treatment in the ICU was studied in 304 patients. These ICU patients were divided into three groups: those treated for internal medical diseases (IMD; n = 129), patients admitted after major surgical procedures (MSP; n = 126), and patients treated ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198901000-00006

    authors: Bergbom-Engberg I,Haljamäe H

    更新日期:1989-01-01 00:00:00

  • Incidence rate of community-acquired sepsis among hospitalized acute medical patients-a population-based survey.

    abstract:OBJECTIVE:Sepsis is a frequent cause of admission, but incidence rates based on administrative data have previously produced large differences in estimates. The aim of the study was to estimate the incidence of community-acquired sepsis based on patients' symptoms and clinical findings at arrival to the hospital. DESI...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000000611

    authors: Henriksen DP,Laursen CB,Jensen TG,Hallas J,Pedersen C,Lassen AT

    更新日期:2015-01-01 00:00:00

  • Racial Differences in Palliative Care Use After Stroke in Majority-White, Minority-Serving, and Racially Integrated U.S. Hospitals.

    abstract:OBJECTIVES:Racial/ethnic differences in palliative care resource use after stroke have been recognized, but it is unclear whether patient or hospital characteristics drive this disparity. We sought to determine whether palliative care use after intracerebral hemorrhage and ischemic stroke differs between hospitals serv...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000002762

    authors: Faigle R,Ziai WC,Urrutia VC,Cooper LA,Gottesman RF

    更新日期:2017-12-01 00:00:00

  • Hemoglobin solutions--not just red blood cell substitutes.

    abstract:OBJECTIVE:To review current knowledge about cell-free hemoglobin solutions. DATA SOURCES:All studies involving cell-free hemoglobin were retrieved from a computerized MEDLINE search from 1980 to 1998. We also reviewed the reference lists of all available review articles and primary studies to identify references not f...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/00003246-200008000-00058

    authors: Creteur J,Sibbald W,Vincent JL

    更新日期:2000-08-01 00:00:00

  • Can healthcare providers obtain judicial intervention against surrogates who demand "medically inappropriate" life support for incompetent patients?

    abstract:OBJECTIVE:This article analyzes, from a legal perspective, a recent phenomenon involving a clash between the values of attending medical personnel and the instructions of surrogate decision-makers acting on behalf of incompetent patients. Some hospitals have gone to court to challenge decisions by surrogates to continu...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/00003246-199605000-00026

    authors: Cantor NL

    更新日期:1996-05-01 00:00:00

  • Association of low serum 25-hydroxyvitamin D levels and mortality in the critically ill.

    abstract:OBJECTIVE:We hypothesized that deficiency in 25-hydroxyvitamin D before hospital admission would be associated with all-cause mortality in the critically ill. DESIGN:Multicenter observational study of patients treated in medical and surgical intensive care units. SETTING:A total of 209 medical and surgical intensive ...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/CCM.0b013e318206ccdf

    authors: Braun A,Chang D,Mahadevappa K,Gibbons FK,Liu Y,Giovannucci E,Christopher KB

    更新日期:2011-04-01 00:00:00

  • Hemodialysis of amikacin in critically ill patients.

    abstract::The clearance of amikacin during hemodialysis (HD) was determined in eight critically ill patients. The dialysis period averaged 3.4 h with a blood flow of 200 ml/min. The average amikacin clearance between dialysis was 7.30 +/- 4.78 (SD) ml/min which increased to 37.5 +/- 8.01 ml/min during dialysis. The average seru...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198805000-00010

    authors: Armstrong DK,Hodgman T,Visconti JA,Reilley TE,Garner WL,Dasta JF

    更新日期:1988-05-01 00:00:00

  • Severe acute respiratory syndrome and critical care medicine: the Toronto experience.

    abstract:BACKGROUND:The 2003 global outbreak of severe acute respiratory syndrome (SARS) provided numerous challenges to the delivery of critical care. The Toronto critical care community has learned important lessons from SARS, which will help in preparation for future disease outbreaks. OBJECTIVES:The objectives of this stud...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.ccm.0000150954.88817.6

    authors: Booth CM,Stewart TE

    更新日期:2005-01-01 00:00:00