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成人机械通气患者的院际转运

Interhospital transport of the adult mechanically ventilated patient.

作者信息

Reynolds H Neal, Habashi Nader M, Cottingham Christine A, Frawley P Milo, McCunn Maureen

机构信息

R Adams Cowley Shock Trauma Center, University of Maryand School of Medicine, Baltimore 21201, USA.

出版信息

Respir Care Clin N Am. 2002 Mar;8(1):37-50. doi: 10.1016/s1078-5337(02)00015-1.

Abstract

Interhospital transport of the adult mechanically ventilated patient may be necessary for those who require specialized care. An experienced medical team can safely transport even the most critically ill patients if the care is optimized before departure. Patients with severe respiratory failure may have to remain on an ICU ventilator throughout the transport period, depending on the specific transport ventilator. Near-terminal ARDS can be treated with ECLS, and these patients also may be safely transported to a regional center.

摘要

对于那些需要专科护理的成人机械通气患者,可能需要进行院际转运。如果在出发前优化护理,经验丰富的医疗团队甚至可以安全转运病情最危重的患者。严重呼吸衰竭患者在整个转运期间可能必须一直使用重症监护病房的呼吸机,这取决于具体的转运呼吸机。终末期急性呼吸窘迫综合征可采用体外膜肺氧合治疗,这些患者也可安全转运至区域中心。

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