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Changes in vital signs, ventilation mode, and catecholamine use during intensive care aeromedical evacuation flights
INTRODUCTION: Especially after (natural) disasters, local health systems are also destroyed or their ability to work is massively restricted. The transport of injured patients is therefore often necessary for further care. Numerous nations keep fixed-wing aircraft with intensive-care capabilities av...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10008855/ https://www.ncbi.nlm.nih.gov/pubmed/36923050 http://dx.doi.org/10.3389/fpubh.2023.1100832 |
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author | Post, Janina Maeckelburg, Marc Christoph Jagel, Vitali Sammito, Stefan |
author_facet | Post, Janina Maeckelburg, Marc Christoph Jagel, Vitali Sammito, Stefan |
author_sort | Post, Janina |
collection | PubMed |
description | INTRODUCTION: Especially after (natural) disasters, local health systems are also destroyed or their ability to work is massively restricted. The transport of injured patients is therefore often necessary for further care. Numerous nations keep fixed-wing aircraft with intensive-care capabilities available for secondary transport, but little data on the transport is available to date. METHODS: An analysis of all flights with the German Air Force's intensive care fixed-wing-aircraft carried out in the context of humanitarian aid missions since 2002 with a focus on intubated patients was done. RESULTS: A total of 38 patients were transported. Two patients had to be intubated on or during transport. There were significant changes in the necessary positive end-expiratory pressure (PEEP) and the fraction of inspired oxygen. Circulatory parameters did not change. DISCUSSION: Overall, there are no clinically relevant deteriorations due to secondary transport with corresponding air transfers. Due to the hypobaric hypoxic conditions on board of all aircrafts, intubation in clinically borderline patients should be performed electively on the ground before flight. |
format | Online Article Text |
id | pubmed-10008855 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-100088552023-03-14 Changes in vital signs, ventilation mode, and catecholamine use during intensive care aeromedical evacuation flights Post, Janina Maeckelburg, Marc Christoph Jagel, Vitali Sammito, Stefan Front Public Health Public Health INTRODUCTION: Especially after (natural) disasters, local health systems are also destroyed or their ability to work is massively restricted. The transport of injured patients is therefore often necessary for further care. Numerous nations keep fixed-wing aircraft with intensive-care capabilities available for secondary transport, but little data on the transport is available to date. METHODS: An analysis of all flights with the German Air Force's intensive care fixed-wing-aircraft carried out in the context of humanitarian aid missions since 2002 with a focus on intubated patients was done. RESULTS: A total of 38 patients were transported. Two patients had to be intubated on or during transport. There were significant changes in the necessary positive end-expiratory pressure (PEEP) and the fraction of inspired oxygen. Circulatory parameters did not change. DISCUSSION: Overall, there are no clinically relevant deteriorations due to secondary transport with corresponding air transfers. Due to the hypobaric hypoxic conditions on board of all aircrafts, intubation in clinically borderline patients should be performed electively on the ground before flight. Frontiers Media S.A. 2023-02-27 /pmc/articles/PMC10008855/ /pubmed/36923050 http://dx.doi.org/10.3389/fpubh.2023.1100832 Text en Copyright © 2023 Post, Maeckelburg, Jagel and Sammito. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Post, Janina Maeckelburg, Marc Christoph Jagel, Vitali Sammito, Stefan Changes in vital signs, ventilation mode, and catecholamine use during intensive care aeromedical evacuation flights |
title | Changes in vital signs, ventilation mode, and catecholamine use during intensive care aeromedical evacuation flights |
title_full | Changes in vital signs, ventilation mode, and catecholamine use during intensive care aeromedical evacuation flights |
title_fullStr | Changes in vital signs, ventilation mode, and catecholamine use during intensive care aeromedical evacuation flights |
title_full_unstemmed | Changes in vital signs, ventilation mode, and catecholamine use during intensive care aeromedical evacuation flights |
title_short | Changes in vital signs, ventilation mode, and catecholamine use during intensive care aeromedical evacuation flights |
title_sort | changes in vital signs, ventilation mode, and catecholamine use during intensive care aeromedical evacuation flights |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10008855/ https://www.ncbi.nlm.nih.gov/pubmed/36923050 http://dx.doi.org/10.3389/fpubh.2023.1100832 |
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