Joo Ki Hyuk, Yoo In Sool, Lee Jinwoong, Kim Seung Whan, Ryu Seung, You Yeon Ho, Cho Yong Chul, Jeong Woon Jun, Ahn Byung Jun, Cho Sung Uk
Department of Emergency Medicine, Chungnam National University School of Medicine, Daejeon, Korea.
Clin Exp Emerg Med. 2016 Jun 30;3(2):81-87. doi: 10.15441/ceem.15.091. eCollection 2016 Jun.
Critically ill patients sometimes require transport to another location. Longer intra-hospital transport time increases the risk of hemodynamic instability and associated complications. Therefore, reducing intra-hospital transport time is critical. Our objective was to evaluate whether or not a new device the easy tube arrange device (ETAD) has the potential to reduce intra-hospital transport time of critically ill patients.
We enrolled volunteers for this prospective randomized controlled study. Each participant arranged four, five, and six fluid tubings, monitoring lines, and therapeutic equipment on a cardiopulmonary resuscitation training mannequin (Resusci Anne). The time required to arrange the fluid tubings for intra-hospital transport using two different methods was evaluated.
The median time to arrange four, five, and six fluid tubings was 86.00 (76.50 to 98.50), 96.00 (86.00 to 113.00), and 115.50 (93.00 to 130.75) seconds, respectively, using the conventional method and 60.50 (52.50 to 72.75), 69.00 (57.75 to 80.80), and 72.50 (64.75 to 90.50) seconds using the ETAD (all P<0.001). The total duration (for preparing the basic setting and organizing before and after the transport) was 280.00 (268.75 to 293.00), 315.50 (304.75 to 330.75), and 338.00 (319.50 to 360.25) seconds for four, five, and six fluid tubings, respectively, using the conventional method and 274.50 (261.75 to 289.25), 288.00 (271.75 to 298.25), and 301.00 (284.50 to 310.75) seconds, respectively, using the new method (P=0.024, P<0.001, and P<0.001, respectively).
The ETAD was convenient to use, reduced the time to arrange medical tubings, and is expected to assist medical staff during intra-hospital transport.
重症患者有时需要转运至其他地点。较长的院内转运时间会增加血流动力学不稳定及相关并发症的风险。因此，缩短院内转运时间至关重要。我们的目的是评估一种新设备——简易管道整理设备（ETAD）是否有可能缩短重症患者的院内转运时间。
我们招募志愿者参与这项前瞻性随机对照研究。每位参与者在心肺复苏训练模拟人（复苏安妮）上整理4根、5根和6根输液管、监测线及治疗设备。评估使用两种不同方法整理用于院内转运的输液管所需的时间。
使用传统方法整理4根、5根和6根输液管的中位时间分别为86.00（76.50至98.50）秒、96.00（86.00至113.00）秒和115.50（93.00至130.75）秒，而使用ETAD的时间分别为60.50（52.50至72.75）秒、69.00（57.75至80.80）秒和72.50（64.75至90.50）秒（所有P<0.001）。使用传统方法时，整理4根、5根和6根输液管的总时长（包括准备基本设置以及转运前后的整理时间）分别为280.00（268.75至293.00）秒、315.50（304.75至330.75）秒和338.00（319.50至360.25）秒，而使用新方法时分别为274.50（261.75至289.25）秒、288.00（271.75至298.25）秒和301.00（284.50至310.75）秒（分别为P=0.024、P<0.001和P<0.001）。
ETAD使用方便，缩短了整理医用管道的时间，有望在院内转运期间协助医护人员。
