10º Passo para a Anestesia Segura: Transporte Seguro

No início desta segunda quinzena de maio, finalmente chegamos ao 10º Passo do programa Segurança no Período Perioperatório: 10 passos para a Anestesia Segura. A partir de hoje, os posts trarão indicações de textos e artigos relacionados ao tema e se você também quiser sugerir algum material interessante ou enviar um texto de sua autoria sobre o assunto, mande um e-mail para anestesiasegura@sma.com.br. Ficaremos contentes com sua participação!

O artigo que indicamos hoje é:

Fanara et al. Critical Care 2010, 14:R87

Recomendations for the intra-hospital transport of critically ill patients

Benoît Fanara, Cyril Manzon, Olivier Barbot, Thibaut Desmettre and Gilles Capellier

Abstract

Introduction: This study was conducted to provide Intensive Care Units and Emergency Departments with a set of practical procedures (check-lists) for managing critically-ill adult patients in order to avoid complications during intrahospital transport (IHT).

Methods: Digital research was carried out via the MEDLINE, EMBASE, CINAHL and HEALTHSTAR databases using the following key words: transferring, transport, intrahospital or intra-hospital, and critically ill patient. The reference bibliographies of each of the selected articles between 1998 and 2009 were also studied.

Results: This review focuses on the analysis and overcoming of IHT-related risks, the associated adverse events, and their nature and incidence. The suggested preventive measures are also reviewed. A check-list for quick execution of IHT is then put forward and justified.

Conclusions: Despite improvements in IHT practices, significant risks are still involved. Basic training, good clinical sense and a risk-benefit analysis are currently the only deciding factors. A critically ill patient, prepared and accompanied by an inexperienced team, is a risky combination. The development of adapted equipment and the widespread use of check-lists and proper training programmes would increase the safety of IHT and reduce the risks in the long-term. Further investigation is required in order to evaluate the protective role of  such preventive measures.

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Fonte: http://ccforum.com/content/14/3/R87