Henning R
Intensive Care Unit, Royal Children's Hospital, Parkville, VIC.
Med J Aust. 1992 Jan 20;156(2):117-24.
To provide up-to-date practical information, relevant to Australian conditions and practice, on stabilising the condition of critically ill children who need transport to a paediatric hospital.
Information on current resuscitation practice was sought from relevant original articles and reviews in the recent medical literature, from textbooks and monographs published in the last 10 years.
A recent study found that 47% of 100 children who needed emergency interhospital transfer experienced problems which should have been preventable by greater availability to referring doctors of information on pretransport stabilisation of critically ill children. Hypoventilation, hypoxaemia and hypotension are commonly found in critically ill children before transport, as are difficulties with endotracheal tube care, sedation and analgesia. Mild physiological disturbances are likely to become severe and life-threatening during transfer unless they are corrected before departure. Early discussion of the child's problems and the transfer plan with senior staff at the nearest paediatric intensive care unit may be helpful in planning the pre-transfer resuscitation.
提供与澳大利亚情况和实践相关的最新实用信息，以稳定需要转运至儿科医院的危重症患儿的病情。
从近期医学文献中的相关原始文章和综述、以及过去10年出版的教科书和专著中获取有关当前复苏实践的信息。
最近一项研究发现，在100名需要紧急院际转运的儿童中，47%遇到了一些问题，而如果能让转诊医生更易获取有关危重症患儿转运前病情稳定的信息，这些问题本应是可以预防的。转运前危重症患儿中常见通气不足、低氧血症和低血压，气管插管护理、镇静和镇痛方面也存在困难。除非在出发前纠正，轻微的生理紊乱在转运过程中很可能会变得严重并危及生命。尽早与最近的儿科重症监护病房的高级工作人员讨论患儿的问题和转运计划，可能有助于规划转运前的复苏工作。
