接受心肺复苏的儿童的院际转运：一个实际且伦理的困境
Interhospital Transport of Children Undergoing Cardiopulmonary Resuscitation: A Practical and Ethical Dilemma.
作者信息
Noje Corina, Fishe Jennifer N, Costabile Philomena M, Klein Bruce L, Hunt Elizabeth A, Pronovost Peter J
机构信息
1Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD. 2Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD. 3Pediatric Transport, The Johns Hopkins Hospital, Baltimore, MD. 4Department of Emergency Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, FL. 5Nursing, Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins Hospital, Baltimore, MD. 6Division of Informatics, The Johns Hopkins Hospital, Baltimore, MD. 7Armstrong Institute for Patient Safety and Quality, Baltimore, MD.
出版信息
Pediatr Crit Care Med. 2017 Oct;18(10):e477-e481. doi: 10.1097/PCC.0000000000001271.
OBJECTIVES
To discuss risks and benefits of interhospital transport of children in cardiac arrest undergoing cardiopulmonary resuscitation.
DESIGN
Narrative review.
RESULTS
Not applicable.
CONCLUSIONS
Transporting children in cardiac arrest with ongoing cardiopulmonary resuscitation between hospitals is potentially lifesaving if it enables access to resources such as extracorporeal support, but may risk transport personnel safety. Research is needed to optimize outcomes of patients transported with ongoing cardiopulmonary resuscitation and reduce risks to the staff caring for them.
目的
探讨在进行心肺复苏的心脏骤停儿童院际转运的风险和益处。
设计
叙述性综述。
结果
不适用。
结论
对正在进行心肺复苏的心脏骤停儿童进行院际转运，如果能够获得体外支持等资源，可能会挽救生命，但可能会危及转运人员的安全。需要开展研究以优化正在进行心肺复苏的转运患者的结局，并降低护理他们的工作人员所面临的风险。
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