Song Kyung Hyeok, Cho Sung Uk, Lee Jin Woong, Cho Yong Chul, Jeong Won Joon, You Yeon Ho, Ryu Seung, Kim Seung Whan, Yoo In Sool, Joo Ki Hyuk
Department of Emergency Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea.
Clin Exp Emerg Med. 2018 Mar 30;5(1):14-21. doi: 10.15441/ceem.16.183. eCollection 2018 Mar.
Patients are often transported within the hospital, especially in cases of critical illness for which computed tomography (CT) is performed. Since increased transport time increases the risks of complications, reducing transport time is important for patient safety. This study aimed to evaluate the ability of our newly invented device, the Easy Tube Arrange Device (ETAD), to reduce transport time for CT evaluation in cases of critical illness.
This prospective randomized control study included 60 volunteers. Each participant arranged five or six intravenous fluid lines, monitoring lines (noninvasive blood pressure, electrocardiography, central venous pressure, arterial catheter), and therapeutic equipment (O2 supply device, Foley catheter) on a Resusci Anne mannequin. We measured transport time for the CT evaluation by using conventional and ETAD method.
The median transport time for CT evaluation was 488.50 seconds (95% confidence interval [CI], 462.75 to 514.75) and, 503.50 seconds (95% CI, 489.50 to 526.75) with 5 and 6 fluid lines using the conventional method and 364.50 seconds (95% CI, 335.00 to 388.75), and 363.50 seconds (95% CI, 331.75 to 377.75) with ETAD (all P<0.001). The time differences were 131.50 (95% CI, 89.25 to 174.50) and 148.00 (95% CI, 116.00 to 177.75) (all P<0.001).
The transport time for CT evaluation was reduced using the ETAD, which would be expected to reduce the complications that may occur during transport in cases of critical illness.
患者常在医院内转运，尤其是在进行计算机断层扫描（CT）检查的危重症情况下。由于转运时间增加会增加并发症风险，缩短转运时间对患者安全至关重要。本研究旨在评估我们新发明的简易管路整理装置（ETAD）在危重症情况下减少CT检查转运时间的能力。
这项前瞻性随机对照研究纳入了60名志愿者。每位参与者在复苏安妮模拟人上布置五或六条静脉输液管路、监测管路（无创血压、心电图、中心静脉压、动脉导管）和治疗设备（氧气供应装置、导尿管）。我们使用传统方法和ETAD方法测量CT检查的转运时间。
使用传统方法，有5条和6条输液管路时，CT检查的中位转运时间分别为488.50秒（95%置信区间[CI]，462.75至514.75）和503.50秒（95%CI，489.50至526.75）；使用ETAD时，分别为364.50秒（95%CI，335.00至388.75）和363.50秒（95%CI，331.75至377.75）（所有P<0.001）。时间差异分别为131.50（95%CI，89.25至174.50）和148.00（95%CI，116.00至177.75）（所有P<0.001）。
使用ETAD可减少CT检查的转运时间，这有望减少危重症患者转运过程中可能发生的并发症。
