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| Analysis of 335 cases of severe patients transferred by ventilator outside the hospital |
| TAO Jinzhe1 HE Xiaonan2▲ |
1.North District Branch, Beijing Emergency Medical Center, Beijing 100031, China;
2.Emergency Critical Care Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China |
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Abstract Objective To explore the mode, parameter conversion reference and application effect of outside the hospital transporter ventilator. Methods A total of 335 severe patients who need to use transporter ventilator as respiratory support were selected from May 2016 to May 2019 by first-aid personnel in the North District Branch, Beijing Emergency Medical Center as the subjects of this study. Changes in patients′ condition during the transfer process were observed, and changes in patients′ vital signs at the beginning and end of transfer were compared. Results Among the 335 severe patients were treated with transporter ventilator, only 19 patients had adverse events such as man-machine confrontation, which were not suitable for the reasons such as transporter ventilator or patient′s vital signs could not be maintained. Their families gave up the transfer and withdrew the vehicle on the spot. The rest of the patients were in stable condition on the way and successfully arrived at the destination. The transfer success rate was 94.3%. There were no statistically significant differences in heart rate, systolic blood pressure, diastolic blood pressure and blood oxygen saturation between the beginning of and the end of transfer (P ＞ 0.05). Conclusion Refer to the ventilation mode and parameters of the hospital (or home) ventilator used by the patient on site, and set the ventilator ventilation mode and parameters of the transporter ventilator according to the actual situation of the patients, so that the patients can be transferred to hospital or sent to hospital with stable condition, obvious effect and safe delivery.
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