The safest place for the critically ill patient is stationary in the ICU, connected to a sophisticated ventilator with all infusion pumps running smoothly, complete monitoring installed, and with a nurse present to care for the patient. However, with increasing technological advancements, it is almost routine for critically ill patients to be transported out of the ICU for a variety of tests and procedures. Data suggest that between 25 and 50% of patients undergo intrahospital transports during their ICU stay, with many patients having multiple transports. The commonest reason for an intrahospital “road trip” is transport to the radiology suite for a CT scan.1,2 Hurst et al.2 reported that the average duration of an intrahospital critical care transport was 74 min. In general, transported patients have significantly higher severity of illness scores, greater use of vasopressors and mechanical ventilation, and longer ICU and hospital length of stay and higher hospital mortality than do non-transported patients.1 These patient factors significantly increase the risks of transport.
Critical Care Nurse High Hospital Mortality Transport Team Complete Monitoring Continuous Pulse Oximetry
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Voigt LP, Pastores SM, Raoof ND, et al. Review of a large clinical series: intrahospital transport of critically ill patients: outcomes, timing, and patterns. J Intensive Care Med. 2009;24:108–115.PubMedCrossRefGoogle Scholar
Hurst JM, Davis K Jr, Johnson DJ, et al. Cost and complications during in-hospital transport of critically ill patients: a prospective cohort study. J Trauma. 1992;33:582–585.PubMedCrossRefGoogle Scholar
Beckmann U, Gillies DM, Berenholtz SM, et al. Incidents relating to the intra-hospital transfer of critically ill patients. An analysis of the reports submitted to the Australian Incident Monitoring Study in Intensive Care. Intensive Care Med. 2004;30:1579–1585.PubMedCrossRefGoogle Scholar
Warren J, Fromm RE Jr, Orr RA, et al. Guidelines for the inter- and intrahospital transport of critically ill patients. Crit Care Med. 2004;32:256–262.PubMedCrossRefGoogle Scholar
Stearley HE. Patients' outcomes: intrahospital transportation and monitoring of critically ill patients by a specially trained ICU nursing staff. Am J Crit Care. 1998;7:282–287.PubMedGoogle Scholar
Bercault N, Wolf M, Runge I, et al. Intrahospital transport of critically ill ventilated patients: a risk factor for ventilator-associated pneumonia – a matched cohort study. Crit Care Med. 2005;33:2471–2478.PubMedCrossRefGoogle Scholar