Jahn N, Voelker M T, Bercker S, Kaisers U, Laudi S
Klinik und Poliklinik für Anästhesie und Intensivtherapie, Universitätsklinikum Leipzig, Liebigstraße 20, 04103, Leipzig, Deutschland.
Anaesthesist. 2017 Aug;66(8):604-613. doi: 10.1007/s00101-017-0296-2.
In patients with severely compromised gas exchange, interhospital transportation is frequently necessary due to the need to provide access to specialized care. Risks are inherent during transport, so the anticipated benefits of transportation must be weighed against the possible negative outcome during the transport. The use of specialized teams during transportation can help to reduce adverse events. Diligent planning of the transportation, monitoring and medical staff during transport can decrease adverse events and reduce risks. This article defines the group of patients that may benefit from referral. This article discusses the risks associated with the transportation of patients with severely impaired gas exchange and the risks related to different means of transportation. The decisions required before transportation are described as well as the practical approach starting at the transferring hospital until arrival at the admitting hospital.
在气体交换严重受损的患者中，由于需要获得专科护理，院际转运常常是必要的。转运过程中风险在所难免，因此必须权衡转运预期带来的益处与转运期间可能出现的负面结果。转运过程中使用专业团队有助于减少不良事件。对转运过程进行精心规划、对转运期间的监测和医护人员进行安排，可减少不良事件并降低风险。本文界定了可能从转诊中获益的患者群体。本文讨论了气体交换严重受损患者转运相关的风险以及不同转运方式相关的风险。阐述了转运前所需做出的决策以及从转诊医院开始直至抵达收治医院的实际操作方法。
