Cargando…

Severe Acute Respiratory Syndrome Coronavirus 2 Pandemic: Chilean Air Force Experience in the Air Transport of Critically Ill Patients—The First 100 Cases

OBJECTIVE: Critical care air transport has played an important role during the coronavirus disease 2019 (COVID-19) pandemic. The goal of this article is to analyze results and lessons learned from the evacuation of the first 100 COVID-19 patients transported between medical facilities in Chile. METH...

Descripción completa

Detalles Bibliográficos
Autores principales: La Rosa, Gino, de Aretxabala, Xabier, Martin, Terry, Barreto, Julio, Aguilera, Victor, Wanner, Max, Gonzalez, Pablo, Suarez, Gonzalo, Leiva, Viviana, Herve, Miguel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Published by Elsevier Inc. on behalf of Air Medical Journal Associates. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8743450/
https://www.ncbi.nlm.nih.gov/pubmed/35750448
http://dx.doi.org/10.1016/j.amj.2021.12.007
_version_ 1784629907506069504
author La Rosa, Gino
de Aretxabala, Xabier
Martin, Terry
Barreto, Julio
Aguilera, Victor
Wanner, Max
Gonzalez, Pablo
Suarez, Gonzalo
Leiva, Viviana
Herve, Miguel
author_facet La Rosa, Gino
de Aretxabala, Xabier
Martin, Terry
Barreto, Julio
Aguilera, Victor
Wanner, Max
Gonzalez, Pablo
Suarez, Gonzalo
Leiva, Viviana
Herve, Miguel
author_sort La Rosa, Gino
collection PubMed
description OBJECTIVE: Critical care air transport has played an important role during the coronavirus disease 2019 (COVID-19) pandemic. The goal of this article is to analyze results and lessons learned from the evacuation of the first 100 COVID-19 patients transported between medical facilities in Chile. METHODS: We reviewed prospective data of patients who were referred for air transport between March 27, 2020, and July 9, 2020. RESULTS: Of 115 referred patients, 100 were transported by air. All patients were intubated and mechanically ventilated. Hypertension, diabetes, and obesity were the most commonly observed comorbidities. Our service did not experience any major problems in patient care en route or among the crewmembers. We did not observe any severe acute respiratory syndrome coronavirus 2 infections among our flight team members during the study period. Twelve (12%) patients died at their destination intensive care unit, whereas the remaining 88 patients (88%) returned to their primary hospitals after recovery. CONCLUSIONS: Air transport of mechanically ventilated patients with COVID-19 infection has been shown to be a safe way of transport, with no in-flight deaths and an in-hospital mortality of 12%, which compares favorably with the in-hospital mortality of similar patients who did not undergo air transport.
format Online
Article
Text
id pubmed-8743450
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Published by Elsevier Inc. on behalf of Air Medical Journal Associates.
record_format MEDLINE/PubMed
spelling pubmed-87434502022-01-10 Severe Acute Respiratory Syndrome Coronavirus 2 Pandemic: Chilean Air Force Experience in the Air Transport of Critically Ill Patients—The First 100 Cases La Rosa, Gino de Aretxabala, Xabier Martin, Terry Barreto, Julio Aguilera, Victor Wanner, Max Gonzalez, Pablo Suarez, Gonzalo Leiva, Viviana Herve, Miguel Air Med J Original Research OBJECTIVE: Critical care air transport has played an important role during the coronavirus disease 2019 (COVID-19) pandemic. The goal of this article is to analyze results and lessons learned from the evacuation of the first 100 COVID-19 patients transported between medical facilities in Chile. METHODS: We reviewed prospective data of patients who were referred for air transport between March 27, 2020, and July 9, 2020. RESULTS: Of 115 referred patients, 100 were transported by air. All patients were intubated and mechanically ventilated. Hypertension, diabetes, and obesity were the most commonly observed comorbidities. Our service did not experience any major problems in patient care en route or among the crewmembers. We did not observe any severe acute respiratory syndrome coronavirus 2 infections among our flight team members during the study period. Twelve (12%) patients died at their destination intensive care unit, whereas the remaining 88 patients (88%) returned to their primary hospitals after recovery. CONCLUSIONS: Air transport of mechanically ventilated patients with COVID-19 infection has been shown to be a safe way of transport, with no in-flight deaths and an in-hospital mortality of 12%, which compares favorably with the in-hospital mortality of similar patients who did not undergo air transport. Published by Elsevier Inc. on behalf of Air Medical Journal Associates. 2022 2022-01-10 /pmc/articles/PMC8743450/ /pubmed/35750448 http://dx.doi.org/10.1016/j.amj.2021.12.007 Text en © 2022 Published by Elsevier Inc. on behalf of Air Medical Journal Associates. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Original Research
La Rosa, Gino
de Aretxabala, Xabier
Martin, Terry
Barreto, Julio
Aguilera, Victor
Wanner, Max
Gonzalez, Pablo
Suarez, Gonzalo
Leiva, Viviana
Herve, Miguel
Severe Acute Respiratory Syndrome Coronavirus 2 Pandemic: Chilean Air Force Experience in the Air Transport of Critically Ill Patients—The First 100 Cases
title Severe Acute Respiratory Syndrome Coronavirus 2 Pandemic: Chilean Air Force Experience in the Air Transport of Critically Ill Patients—The First 100 Cases
title_full Severe Acute Respiratory Syndrome Coronavirus 2 Pandemic: Chilean Air Force Experience in the Air Transport of Critically Ill Patients—The First 100 Cases
title_fullStr Severe Acute Respiratory Syndrome Coronavirus 2 Pandemic: Chilean Air Force Experience in the Air Transport of Critically Ill Patients—The First 100 Cases
title_full_unstemmed Severe Acute Respiratory Syndrome Coronavirus 2 Pandemic: Chilean Air Force Experience in the Air Transport of Critically Ill Patients—The First 100 Cases
title_short Severe Acute Respiratory Syndrome Coronavirus 2 Pandemic: Chilean Air Force Experience in the Air Transport of Critically Ill Patients—The First 100 Cases
title_sort severe acute respiratory syndrome coronavirus 2 pandemic: chilean air force experience in the air transport of critically ill patients—the first 100 cases
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8743450/
https://www.ncbi.nlm.nih.gov/pubmed/35750448
http://dx.doi.org/10.1016/j.amj.2021.12.007
work_keys_str_mv AT larosagino severeacuterespiratorysyndromecoronavirus2pandemicchileanairforceexperienceintheairtransportofcriticallyillpatientsthefirst100cases
AT dearetxabalaxabier severeacuterespiratorysyndromecoronavirus2pandemicchileanairforceexperienceintheairtransportofcriticallyillpatientsthefirst100cases
AT martinterry severeacuterespiratorysyndromecoronavirus2pandemicchileanairforceexperienceintheairtransportofcriticallyillpatientsthefirst100cases
AT barretojulio severeacuterespiratorysyndromecoronavirus2pandemicchileanairforceexperienceintheairtransportofcriticallyillpatientsthefirst100cases
AT aguileravictor severeacuterespiratorysyndromecoronavirus2pandemicchileanairforceexperienceintheairtransportofcriticallyillpatientsthefirst100cases
AT wannermax severeacuterespiratorysyndromecoronavirus2pandemicchileanairforceexperienceintheairtransportofcriticallyillpatientsthefirst100cases
AT gonzalezpablo severeacuterespiratorysyndromecoronavirus2pandemicchileanairforceexperienceintheairtransportofcriticallyillpatientsthefirst100cases
AT suarezgonzalo severeacuterespiratorysyndromecoronavirus2pandemicchileanairforceexperienceintheairtransportofcriticallyillpatientsthefirst100cases
AT leivaviviana severeacuterespiratorysyndromecoronavirus2pandemicchileanairforceexperienceintheairtransportofcriticallyillpatientsthefirst100cases
AT hervemiguel severeacuterespiratorysyndromecoronavirus2pandemicchileanairforceexperienceintheairtransportofcriticallyillpatientsthefirst100cases