Book contents
- Frontmatter
- Contents
- Contributors
- Foreword
- Preface
- Introductory Notes
- 1 Physiology of ventilation and gas exchange
- 2 Assessing the need for ventilatory support
- 3 Oxygen therapy, continuous positive airway pressure and non-invasive ventilation
- 4 Management of the artificial airway
- 5 Modes of mechanical ventilation
- 6 Oxygenation
- 7 Carbon dioxide balance
- 8 Sedation, paralysis and analgesia
- 9 Nutrition in the mechanically ventilated patient
- 10 Mechanical ventilation in asthma and chronic obstructive pulmonary disease
- 11 Mechanical ventilation in patients with blast, burn and chest trauma injuries
- 12 Ventilatory support: extreme solutions
- 13 Heliox in airway obstruction and mechanical ventilation
- 14 Adverse effects and complications of mechanical ventilation
- 15 Mechanical ventilation for transport
- 16 Special considerations in infants and children
- 17 Tracheostomy
- 18 Weaning, extubation and de-cannulation
- 19 Long-term ventilatory support
- 20 The history of mechanical ventilation
- Glossary
- Index
15 - Mechanical ventilation for transport
Published online by Cambridge University Press: 14 October 2009
- Frontmatter
- Contents
- Contributors
- Foreword
- Preface
- Introductory Notes
- 1 Physiology of ventilation and gas exchange
- 2 Assessing the need for ventilatory support
- 3 Oxygen therapy, continuous positive airway pressure and non-invasive ventilation
- 4 Management of the artificial airway
- 5 Modes of mechanical ventilation
- 6 Oxygenation
- 7 Carbon dioxide balance
- 8 Sedation, paralysis and analgesia
- 9 Nutrition in the mechanically ventilated patient
- 10 Mechanical ventilation in asthma and chronic obstructive pulmonary disease
- 11 Mechanical ventilation in patients with blast, burn and chest trauma injuries
- 12 Ventilatory support: extreme solutions
- 13 Heliox in airway obstruction and mechanical ventilation
- 14 Adverse effects and complications of mechanical ventilation
- 15 Mechanical ventilation for transport
- 16 Special considerations in infants and children
- 17 Tracheostomy
- 18 Weaning, extubation and de-cannulation
- 19 Long-term ventilatory support
- 20 The history of mechanical ventilation
- Glossary
- Index
Summary
Introduction
The number of transfers of critically ill patients within and between hospitals has been continuously increasing throughout the entire evolution of intensive care medicine. This is mostly due to the development of highly technical and non-portable diagnostic devices, the escalating complexity of healthcare, the concentration of skills into specialized regional centres and, not uncommonly, a shortage of intensive care beds. The transfer or transport of critical care patients offer the most difficult challenges and require detailed planning, preparation, skill, knowledge and teamwork to achieve success. Even the transport of patients between two departments in one hospital can be hazardous. Arguably, the highest risk is that of ensuring a patent airway and adequate ventilation. This chapter discusses the process of transferring ventilated patients and examines portable ventilators in some detail.
Basic overview of ventilation for transfer or transport
Indications and contra-indications for transfer
Almost invariably, critical care patients are transferred or transported either to a higher level of clinical care or to a diagnostic procedure that will help direct future clinical management. The indications for transfer are therefore clinical and have the ultimate aim of delivering the patient to the most appropriate care or delivering the most appropriate care to the patient.
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- Core Topics in Mechanical Ventilation , pp. 284 - 295Publisher: Cambridge University PressPrint publication year: 2008