Khurana Himanshu, Mehta Yatin, Dubey Sunil
Department of Anesthesia and Critical Care, Institute of Anesthesia and Critical Care, Gurgaon, Haryana, India.
Emergency and Trauma, Medanta- The Medicity Hospital, Gurgaon, Haryana, India.
J Anaesthesiol Clin Pharmacol. 2016 Jul-Sep;32(3):359-63. doi: 10.4103/0970-9185.173377.
Long distance air travel for medical needs is on the increase worldwide. The condition of some patients necessitates specially modified aircraft, and monitoring and interventions during transport by trained medical personnel. This article presents our experience in domestic and international interhospital air medical transportation from January 2010 to January 2014.
Hospital records of all air medical transportation undertaken to the institute during the period were analyzed for demographics, primary etiology, and events during transport.
586 patients, 453 (77.3%) males and 133 (22.6%) females of ages 46.7 ± 12.6 years and 53.4 ± 9.7 years were transported by us to the institute. It took 3030 flying hours with an average of 474 ± 72 min for each mission. The most common indication for transport was cardiovascular diseases in 210 (35.8%) and central nervous system disease in 120 (20.4%) cases. The overall complication rate was 5.3% There was no transport related mortality.
Cardiac and central nervous system ailments are the most common indication for air medical transportation. These patients may need attention and interventions as any critical patient in the hospital but in a difficult environment lacking space and help. Air medical transport carries no more risk than ground transportation.
全球范围内，出于医疗需求的长途航空运输正在增加。一些患者的病情需要经过特殊改装的飞机，以及训练有素的医务人员在运输过程中的监测和干预。本文介绍了我们在2010年1月至2014年1月期间进行国内和国际医院间航空医疗运输的经验。
分析了在此期间转运至本机构的所有航空医疗运输的医院记录，包括人口统计学、主要病因以及运输过程中的事件。
我们将586例患者转运至本机构，其中男性453例（77.3%），年龄为46.7±12.6岁，女性133例（22.6%），年龄为53.4±9.7岁。飞行时间共计3030小时，每次任务平均用时474±72分钟。最常见的转运指征是心血管疾病，共210例（35.8%），中枢神经系统疾病120例（20.4%）。总体并发症发生率为5.3%，无运输相关死亡病例。
心脏和中枢神经系统疾病是航空医疗运输最常见的指征。这些患者可能像医院里的任何危重症患者一样需要关注和干预，但所处环境空间狭小且缺乏帮助。航空医疗运输的风险并不高于地面运输。
