Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 21 , ISSUE 1 ( 2017 ) > List of Articles

BRIEF COMMUNICATION

Benefits of and untoward events during intrahospital transport of pediatric intensive care unit patients

M. M. Harish, Suhail Siddiqui, Natesh R, Harish Chaudhari

Keywords : Cancer patients, critically ill, intrahospital transport, pediatric transport

Citation Information : Harish MM, Siddiqui S, R N, Chaudhari H. Benefits of and untoward events during intrahospital transport of pediatric intensive care unit patients. Indian J Crit Care Med 2017; 21 (1):46-48.

DOI: 10.4103/0972-5229.198326

License: CC BY-ND 3.0

Published Online: 01-01-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background and Aims: The transport of critically ill patients for procedures or imaging outside the Intensive Care Unit (ICU) is potentially hazardous; hence, the transport process must be organized and efficient. The literature about benefits of and untoward events (UEs) during intrahospital transport of pediatric critically ill patient is scarce. We, therefore, audited the UEs during and benefits of intrahospital transport of critically ill pediatric patients in our ICU. Subjects and Methods: Eighty critically ill pediatric (<18 years) cancer patients, transported from the ICU for either diagnostic or therapeutic procedure over a period of 6 months, were included in the study. The data collected included the destination (computed tomography scan, intervention radiology, magnetic resonance imaging scan, and operation theater), accompanying medical personnel, UEs, and benefits obtained during transport. Results: Among eighty pediatric patients, the median age was 8 years (range 2-17 years). During the transport, four (5%) patients required endotracheal intubation, three (3.75%) patients required intercostal drain placement, and six (7.5%) patients required cardiopulmonary resuscitation. Accidental removal of central venous catheter was reported in three (3.75%) patients, drain came out in four (5%) patients, and three (3.75%) patients had accidental extubation. Transport indirectly led to a change in antibiotic therapy in 24 (30%) patients and directly helped in change of therapy in the form of interventions in 20 (25%) patients. Conclusion: Critically ill children can be transported safely with adequate pretransport preparations, which may help in avoiding major UEs and benefit the patient by change in the therapy.


PDF Share
  1. Blakeman TC, Branson RD. Inter- and intra-hospital transport of the critically ill. Respir Care 2013;58:1008-23.
  2. Felmet K. Textbook of critical care. In: Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP, editors. Transport Medicine. 6 th ed. New Delhi: Elsevier; 2011. p. 1627-32.
  3. Papson JP, Russell KL, Taylor DM. Unexpected events during the intrahospital transport of critically ill patients. Acad Emerg Med 2007;14:574-7.
  4. Wallen E, Venkataraman ST, Grosso MJ, Kiene K, Orr RA. Intrahospital transport of critically ill pediatric patients. Crit Care Med 1995;23:1588-95.
  5. Venkategowda PM, Rao SM, Mutkule DP, Taggu AN. Unexpected events occurring during the intra-hospital transport of critically ill ICU patients. Indian J Crit Care Med 2014;18:354-7.
  6. Parmentier-Decrucq E, Poissy J, Favory R, Nseir S, Onimus T, Guerry MJ, et al. Adverse events during intrahospital transport of critically ill patients: Incidence and risk factors. Ann Intensive Care 2013;3:10.
  7. Jia L, Wang H, Gao Y, Liu H, Yu K. High incidence of adverse events during intra-hospital transport of critically ill patients and new related risk factors: A prospective, multicenter study in China. Crit Care 2016;20:12.
  8. 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.
  9. Edge WE, Kanter RK, Weigle CG, Walsh RF. Reduction of morbidity in interhospital transport by specialized pediatric staff. Crit Care Med 1994;22:1186-91.
  10. Orr RA, Felmet KA, Han Y, McCloskey KA, Dragotta MA, Bills DM, et al. Pediatric specialized transport teams are associated with improved outcomes. Pediatrics 2009;124:40-8.
  11. Ramnarayan P, Thiru K, Parslow RC, Harrison DA, Draper ES, Rowan KM. Effect of specialist retrieval teams on outcomes in children admitted to paediatric intensive care units in England and Wales: A retrospective cohort study. Lancet 2010;376:698-704.
  12. Harish MM, Janarthanan S, Siddiqui SS, Chaudhary HK, Prabu NR, Divatia JV, et al. Complications and benefits of intrahospital transport of adult Intensive Care Unit patients. Indian J Crit Care Med 2016;20:448-52.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.