Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 20 , ISSUE 8 ( 2016 ) > List of Articles

RESEARCH ARTICLE

Complications and benefits of intrahospital transport of adult Intensive Care Unit patients

Jigeeshu V. Divatia, M. M. Harish, S. Janarthanan, Suhail Siddiqui, Harish K. Chaudhary, Natesh R. Prabu

Keywords : Complications, critically ill, intrahospital transport

Citation Information : Divatia JV, Harish MM, Janarthanan S, Siddiqui S, Chaudhary HK, Prabu NR. Complications and benefits of intrahospital transport of adult Intensive Care Unit patients. Indian J Crit Care Med 2016; 20 (8):448-452.

DOI: 10.4103/0972-5229.188190

License: CC BY-ND 3.0

Published Online: 01-08-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: The transport of critically ill patients for procedures or tests outside the Intensive Care Unit (ICU) is potentially hazardous; hence, the transport process must be organized and efficient. Plenty of data is available on pre- and inter-hospital transport of patients; the data on intrahospital transport of patients are limited. We audited the complications and benefits of intrahospital transport of critically ill patients in our tertiary care center over 6 months. Materials and Methods: One hundred and twenty adult critically ill cancer patients transported from the ICU for either diagnostic or therapeutic procedure over 6 months were included. The data collected include the destination, the accompanying person, total time spent outside the ICU, and any adverse events and adverse change in vitals. Results: Among the 120 adult patients, 5 (4.1%) required endotracheal intubation, 5 (4.1%) required intercostal drain placement, and 20 (16.7%) required cardiopulmonary resuscitation (CPR). Dislodgement of central venous catheter occurred in 2 (1.6%) patients, drain came out in 3 (2.5%) patients, orogastric tube came out in 1 (0.8%) patient, 2 (1.6%) patients self-extubated, and in one patient, tracheostomy tube was dislodged. The adverse events were more in patients who spent more than 60 min outside the ICU, particularly requirement of CPR (18 [25%] vs. 2 [4.2%], ≤60 min vs. >60 min, respectively) with P < 0.05. Transport led to change in therapy in 32 (26.7%) patients. Conclusion: Transport in critically ill cancer patients is more hazardous and needs adequate pretransport preparations. Transport in spite being hazardous may lead to a beneficial change in therapy in a significant number of patients.


PDF Share
  1. Wright I, Rogers PN, Ridley S. Risks in intrahospital transport. Ann Intern Med 1988;108:638.
  2. Waydhas C. Intrahospital transport of critically ill patients. Crit Care 1999;3:R83-9.
  3. Lovell MA, Mudaliar MY, Klineberg PL. Intrahospital transport of critically ill patients: Complications and difficulties. Anaesth Intensive Care 2001;29:400-5.
  4. Szem JW, Hydo LJ, Fischer E, Kapur S, Klemperer J, Barie PS. High-risk intrahospital transport of critically ill patients: Safety and outcome of the necessary "road trip". Crit Care Med 1995;23:1660-6.
  5. Andrews PJ, Piper IR, Dearden NM, Miller JD. Secondary insults during intrahospital transport of head-injured patients. Lancet 1990;335:327-30.
  6. Gillman L, Leslie G, Williams T, Fawcett K, Bell R, McGibbon V. Adverse events experienced while transferring the critically ill patient from the emergency department to the intensive care unit. Emerg Med J 2006;23:858-61.
  7. Silmara M, Helena Corrêa AP, Helena Bronzatto LC. Characterization of the intrahospital transport of critically ill patients. Acta Paul Enferm 2014;27:115-9.
  8. Papson JP, Russell KL, Taylor DM. Unexpected events during the intrahospital transport of critically ill patients. Acad Emerg Med 2007;14:574-7.
  9. Wallen E, Venkataraman ST, Grosso MJ, Kiene K, Orr RA. Intrahospital transport of critically ill pediatric patients. Crit Care Med 1995;23:1588-95.
  10. Hurst JM, Davis K Jr., Johnson DJ, Branson RD, Campbell RS, Branson PS. Cost and complications during in-hospital transport of critically ill patients: A prospective cohort study. J Trauma 1992;33:582-5.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.