Ontology highlight
ABSTRACT:
Design: Retrospective observational study.
Setting: Single critical care transport agency serving multiple centers in the greater Boston area.
Patients: All transports of intubated patients in the prone position with severe hypoxemic respiratory failure secondary to coronavirus disease 2019.
Interventions: Records were reviewed for patients transported in the prone position. Major adverse events in transport, defined as severe hypoxemia (oxygen saturation < 80% or an absolute decrease in oxygen saturation > 10%), hypotension (mean arterial pressure < 65?mm Hg) not responsive to vasopressors or inotropes, endotracheal tube or vascular catheter dislodgement, and cardiac arrest, were recorded.
Measurements and main results: A total of 25 patients were transported in prone position. The mean Pao2:Fio2 ratio in the group was 101.3?mm Hg, and 76% (n = 19) were on vasopressors. Fourteen patients (56%) had hypotension with at least one episode of mean arterial pressure less than 65?mm Hg en route, and seven (28%) had an episode of oxygen desaturation less than 88%. Only one major adverse event of severe hypoxemia (oxygen saturation < 80%) was noted.
Conclusions: Critical care transport of severe hypoxemic respiratory failure patients with coronavirus disease 2019 in the prone position is safe when performed by a dedicated team of critical care nurse and paramedics with an established protocol.
SUBMITTER: Seethala RR
PROVIDER: S-EPMC7717769 | biostudies-literature | 2020 Dec
REPOSITORIES: biostudies-literature
Seethala Raghu R RR Frakes Michael A MA Cocchi Michael N MN Cohen Jason E JE Dargin James J Friedman Frank F Grant Christian C Kaye Adam A Wilcox Susan R SR
Critical care explorations 20201203 12
<h4>Objectives</h4>To assess the safety and feasibility of a new protocol for interhospital critical care transport of mechanically ventilated patients in the prone position during the coronavirus disease 2019 pandemic by nurse and paramedic critical care transport teams.<h4>Design</h4>Retrospective observational study.<h4>Setting</h4>Single critical care transport agency serving multiple centers in the greater Boston area.<h4>Patients</h4>All transports of intubated patients in the prone positi ...[more]