国际危重症护理医学学会关于危重症患者院内转运的立场声明
Position Statement of ISCCM on Intrahospital Transport of Critically Ill Patients.
作者信息
Zirpe Kapil G, Tiwari Anand M, Kulkarni Atul P, Govil Deepak, Samavedam Srinivas, Sharma Jeetendra, Dixit Subhal B, Munjal Manish, Sinha Sharmili, Singh Yogendra P, Sumalatha Arunachala, Kaurgayala Swarna D, Chandankhede Shweta R, Ahmed Syed, Bandyopadhyay Susruta, Karanth Sunil, Mishra Vijay, Dongre Anand, Gupta Bikram, Routray Pragyan, Nongthombam Rakesh, Jagiasi Bharat, Bhattacharya Pradip, Todi Subhash
机构信息
Neuro Intensive Care Unit, Ruby Hall Clinic, Pune, Maharashtra, India.
Anesthesia and Intensive Care Unit, Tata Memorial Hospital, Mumbai, Maharashtra, India.
出版信息
Indian J Crit Care Med. 2025 Apr;29(4):291-300. doi: 10.5005/jp-journals-10071-24939.
BACKGROUND AND PURPOSE
Intrahospital transport (IHT) of critically ill patients is essential for diagnostic and therapeutic indications, requiring thorough assessment and careful preparation of patients, staff, and equipment throughout the process. Variability in practices among hospitals can affect patient safety and may result in adverse events (AEs). This position statement is designed to provide guidance to multidisciplinary critical care teams in the adoption of evidence-based recommendations aimed at mitigating risks and improving safety during patient transport.
METHOD
This position statement has been drafted by an expert committee on IHT constituted by the Indian Society of Critical Care Medicine. The process involved thorough review of literature from electronic database using PubMed services. Recommendations made are tailored with considerations for Indian setting; the units may further modify these as per local needs and equipment and staffing available. The final manuscript was written after achieving consensus among members, and final draft was accepted by all the committee members.
RESULTS
This position statement offers a compilation of 38 strategic recommendations, which are comprehensive and deal with all aspects of IHT of the critically ill. Recommendations provided in this document are, therefore, applicable for routine use during the IHT. They cover all phases of transport and answer questions pertaining to pre-, intra-, and post-transport considerations. It will help to achieve uniformity, minimize AEs, and enhance safety.
CONCLUSIONS
This is a standard set of 38 evidence-based recommendations to ensure safety for IHT, tailored for implementation in various criticalcare settings across India. Science is ever-changing, and periodic review will be needed to keep it up to date with emerging evidence and standards.
HOW TO CITE THIS ARTICLE
Zirpe KG, Tiwari AM, Kulkarni AP, Govil D, Samavedam S, Sharma J, . Position Statement of ISCCM on Intrahospital Transport of Critically Ill Patients. Indian J Crit Care Med 2025;29(4):291-300.
背景与目的
重症患者的院内转运（IHT）对于诊断和治疗指征至关重要，在此过程中需要对患者、医护人员和设备进行全面评估并精心准备。医院之间做法的差异可能会影响患者安全，并可能导致不良事件（AE）。本立场声明旨在为多学科重症护理团队提供指导，以采用基于证据的建议，旨在降低患者转运期间的风险并提高安全性。
方法
本立场声明由印度重症医学学会组建的IHT专家委员会起草。该过程包括使用PubMed服务对电子数据库中的文献进行全面审查。所提出的建议是根据印度的情况量身定制的；各单位可根据当地需求以及现有设备和人员配置进一步修改这些建议。最终稿件是在成员之间达成共识后撰写的，最终草案被所有委员会成员接受。
结果
本立场声明提供了38条战略建议，内容全面，涉及重症患者IHT的各个方面。因此，本文档中提供的建议适用于IHT期间的常规使用。它们涵盖了转运的所有阶段，并回答了与转运前、转运中和转运后注意事项相关的问题。这将有助于实现一致性，将不良事件降至最低，并提高安全性。
结论
这是一套38条基于证据的标准建议，以确保IHT的安全性，专为在印度各地的各种重症护理环境中实施而量身定制。科学不断发展，需要定期审查以使其与新出现的证据和标准保持同步。
如何引用本文
Zirpe KG, Tiwari AM, Kulkarni AP, Govil D, Samavedam S, Sharma J, 。印度重症医学学会关于重症患者院内转运的立场声明。《印度重症医学杂志》2025；29(4):291 - 300。
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