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Impact of Air Transport on SpO(2)/FiO(2) among Critical COVID-19 Patients during the First Pandemic Wave in France

During the first wave of the COVID-19 pandemic, some French regions were more affected than others. To relieve those areas most affected, the French government organized transfers of critical patients, notably by plane or helicopter. Our objective was to investigate the impact of such transfers on t...

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Autores principales: Bouillon-Minois, Jean-Baptiste, Roux, Vincent, Jabaudon, Matthieu, Flannery, Mara, Duchenne, Jonathan, Dumesnil, Maxime, Paillard-Turenne, Morgane, Gendre, Paul-Henri, Grapin, Kévin, Rieu, Benjamin, Dutheil, Frédéric, Croizier, Carolyne, Schmidt, Jeannot, Pereira, Bruno
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8624612/
https://www.ncbi.nlm.nih.gov/pubmed/34830505
http://dx.doi.org/10.3390/jcm10225223
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author Bouillon-Minois, Jean-Baptiste
Roux, Vincent
Jabaudon, Matthieu
Flannery, Mara
Duchenne, Jonathan
Dumesnil, Maxime
Paillard-Turenne, Morgane
Gendre, Paul-Henri
Grapin, Kévin
Rieu, Benjamin
Dutheil, Frédéric
Croizier, Carolyne
Schmidt, Jeannot
Pereira, Bruno
author_facet Bouillon-Minois, Jean-Baptiste
Roux, Vincent
Jabaudon, Matthieu
Flannery, Mara
Duchenne, Jonathan
Dumesnil, Maxime
Paillard-Turenne, Morgane
Gendre, Paul-Henri
Grapin, Kévin
Rieu, Benjamin
Dutheil, Frédéric
Croizier, Carolyne
Schmidt, Jeannot
Pereira, Bruno
author_sort Bouillon-Minois, Jean-Baptiste
collection PubMed
description During the first wave of the COVID-19 pandemic, some French regions were more affected than others. To relieve those areas most affected, the French government organized transfers of critical patients, notably by plane or helicopter. Our objective was to investigate the impact of such transfers on the pulse oximetric saturation (SpO(2))-to-inspired fraction of oxygen (FiO(2)) ratio among transferred critical patients with COVID-19. We conducted a retrospective study on medical and paramedical records. The primary endpoint was the change in SpO(2)/FiO(2) during transfers. Thirty-eight patients were transferred between 28 March and 5 April 2020, with a mean age of 62.4 years and a mean body mass index of 29.8 kg/m(2). The population was 69.7% male, and the leading medical history was hypertension (42.1%), diabetes (34.2%), and dyslipidemia (18.4%). Of 28 patients with full data, we found a decrease of 28.9 points in SpO(2)/FiO(2) (95% confidence interval, 5.8 to 52.1, p = 0.01) between the starting and the arrival intensive care units (SpO(2)/FiO(2), 187.3 ± 61.3 and 158.4 ± 62.8 mmHg, respectively). Air medical transfers organized to relieve intensive care unit teams under surging conditions during the first COVID wave were associated with significant decreases in arterial oxygenation.
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spelling pubmed-86246122021-11-27 Impact of Air Transport on SpO(2)/FiO(2) among Critical COVID-19 Patients during the First Pandemic Wave in France Bouillon-Minois, Jean-Baptiste Roux, Vincent Jabaudon, Matthieu Flannery, Mara Duchenne, Jonathan Dumesnil, Maxime Paillard-Turenne, Morgane Gendre, Paul-Henri Grapin, Kévin Rieu, Benjamin Dutheil, Frédéric Croizier, Carolyne Schmidt, Jeannot Pereira, Bruno J Clin Med Article During the first wave of the COVID-19 pandemic, some French regions were more affected than others. To relieve those areas most affected, the French government organized transfers of critical patients, notably by plane or helicopter. Our objective was to investigate the impact of such transfers on the pulse oximetric saturation (SpO(2))-to-inspired fraction of oxygen (FiO(2)) ratio among transferred critical patients with COVID-19. We conducted a retrospective study on medical and paramedical records. The primary endpoint was the change in SpO(2)/FiO(2) during transfers. Thirty-eight patients were transferred between 28 March and 5 April 2020, with a mean age of 62.4 years and a mean body mass index of 29.8 kg/m(2). The population was 69.7% male, and the leading medical history was hypertension (42.1%), diabetes (34.2%), and dyslipidemia (18.4%). Of 28 patients with full data, we found a decrease of 28.9 points in SpO(2)/FiO(2) (95% confidence interval, 5.8 to 52.1, p = 0.01) between the starting and the arrival intensive care units (SpO(2)/FiO(2), 187.3 ± 61.3 and 158.4 ± 62.8 mmHg, respectively). Air medical transfers organized to relieve intensive care unit teams under surging conditions during the first COVID wave were associated with significant decreases in arterial oxygenation. MDPI 2021-11-09 /pmc/articles/PMC8624612/ /pubmed/34830505 http://dx.doi.org/10.3390/jcm10225223 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bouillon-Minois, Jean-Baptiste
Roux, Vincent
Jabaudon, Matthieu
Flannery, Mara
Duchenne, Jonathan
Dumesnil, Maxime
Paillard-Turenne, Morgane
Gendre, Paul-Henri
Grapin, Kévin
Rieu, Benjamin
Dutheil, Frédéric
Croizier, Carolyne
Schmidt, Jeannot
Pereira, Bruno
Impact of Air Transport on SpO(2)/FiO(2) among Critical COVID-19 Patients during the First Pandemic Wave in France
title Impact of Air Transport on SpO(2)/FiO(2) among Critical COVID-19 Patients during the First Pandemic Wave in France
title_full Impact of Air Transport on SpO(2)/FiO(2) among Critical COVID-19 Patients during the First Pandemic Wave in France
title_fullStr Impact of Air Transport on SpO(2)/FiO(2) among Critical COVID-19 Patients during the First Pandemic Wave in France
title_full_unstemmed Impact of Air Transport on SpO(2)/FiO(2) among Critical COVID-19 Patients during the First Pandemic Wave in France
title_short Impact of Air Transport on SpO(2)/FiO(2) among Critical COVID-19 Patients during the First Pandemic Wave in France
title_sort impact of air transport on spo(2)/fio(2) among critical covid-19 patients during the first pandemic wave in france
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8624612/
https://www.ncbi.nlm.nih.gov/pubmed/34830505
http://dx.doi.org/10.3390/jcm10225223
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