Yong Nam In, Se Kwang Oh, Jin Hong Min, Jung Soo Park, Yeon Ho You, Insool Yoo, Seung Whan Kim, Jinwoong Lee, Seung Ryu, Won Joon Jeong, Yong Chul Cho, Hong Joon Ahn, Chang Shin Kang
Clin Exp Emerg Med 2023;10(2):241-245. Published online February 24, 2023
Objective Critically ill patients sometimes require transport to another location. Longer intra-hospital transport time increases the risk of hemodynamic instability and associated complications. Therefore, reducing intra-hospital transport time is critical. Our objective was to evaluate whether or not a new device the easy tube arrange device (ETAD) has the potential to reduce intra-hospital transport time of critically ill patients.
Methods We enrolled volunteers for this prospective randomized controlled study. Each participant arranged four, five, and six fluid tubings, monitoring lines, and therapeutic equipment on a cardiopulmonary resuscitation training mannequin (Resusci Anne). The time required to arrange the fluid tubings for intra-hospital transport using two different methods was evaluated.
Results The median time to arrange four, five, and six fluid tubings was 86.00 (76.50 to 98.50), 96.00 (86.00 to 113.00), and 115.50 (93.00 to 130.75) seconds, respectively, using the conventional method and 60.50 (52.50 to 72.75), 69.00 (57.75 to 80.80), and 72.50 (64.75 to 90.50) seconds using the ETAD (all P<0.001). The total duration (for preparing the basic setting and organizing before and after the transport) was 280.00 (268.75 to 293.00), 315.50 (304.75 to 330.75), and 338.00 (319.50 to 360.25) seconds for four, five, and six fluid tubings, respectively, using the conventional method and 274.50 (261.75 to 289.25), 288.00 (271.75 to 298.25), and 301.00 (284.50 to 310.75) seconds, respectively, using the new method (P=0.024, P<0.001, and P<0.001, respectively).
Conclusion The ETAD was convenient to use, reduced the time to arrange medical tubings, and is expected to assist medical staff during intra-hospital transport.
Citations
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Management of patient tubes and lines during early mobility in the intensive care unit Ellen Benjamin, Lindsey Roddy, Karen K. Giuliano Human Factors in Healthcare.2022; 2: 100017. CrossRef
Intrahospital transport of critically ill patients: A survey of emergency nurses Yingli Hu, Donglei Shi, Lili You, Wei Li Nursing in Critical Care.2021; 26(5): 326. CrossRef
A fully automated inpatient transport system Joseph Mendlovic, Eli Gargir, David E. Katz Technology and Health Care.2021; 29(5): 1049. CrossRef
Improving quality and safety during intrahospital transport of critically ill patients: A critical incident study Lina Bergman, Monica Pettersson, Wendy Chaboyer, Eric Carlström, Mona Ringdal Australian Critical Care.2020; 33(1): 12. CrossRef
Is it possible to reduce intra-hospital transport time for computed tomography evaluation in critically ill cases using the Easy Tube Arrange Device? Kyung Hyeok Song, Sung Uk Cho, Jin Woong Lee, Yong Chul Cho, Won Joon Jeong, Yeon Ho You, Seung Ryu, Seung Whan Kim, In Sool Yoo, Ki Hyuk Joo Clinical and Experimental Emergency Medicine.2018; 5(1): 14. CrossRef
Objective We investigated whether patients with out-of-hospital cardiac arrest (OHCA) due to an acute myocardial infarction without cardiogenic shock required higher doses of vasopressors with low targeted temperature management (TTM) after return of spontaneous circulation.
Methods We included consecutive comatose patients resuscitated from OHCA between January 2011 and December 2013. Patients with return of spontaneous circulation, regional wall motion abnormality on echocardiography, and coronary artery stenosis of ≥70% on percutaneous coronary artery angiography were enrolled. These patients received 36°C TTM or 33°C TTM following approval of TTM by patients’ next-of-kin (36°C and 33°C TTM groups, respectively). The cumulative vasopressor index was compared between groups.
Results During induction phase, dose of vasopressors did not differ between groups. In the maintenance phase, the norepinephrine dose was 0.37±0.57 and 0.26±0.91 µg·kg-1·min-1 in the 33°C and 36°C TTM groups, respectively (P<0.01). During the rewarming phase, the norepinephrine and dopamine doses were 0.49±0.60 and 9.67±9.60 mcg·kg-1·min-1 in the 33°C TTM group and 0.14±0.46 and 3.13±7.19 mcg·kg-1·min-1 in the 36°C TTM group, respectively (P<0.01). The median cumulative vasopressor index was 8 (interquartile range, 3 to 8) and 4 (interquartile range, 0 to 8) in the 33°C and 36°C TTM groups, respectively (P=0.03).
Conclusion In this study, patients with OHCA due to acute myocardial infarction without cardiogenic shock had an elevated vasopressor requirement with 33°C TTM compared to 36°C TTM during the maintenance and rewarming phases.
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Survival, but not the severity of hypoxic–ischemic encephalopathy, is associated with higher mean arterial blood pressure after cardiac arrest: a retrospective cohort study Sandra Preuß, Jan Multmeier, Werner Stenzel, Sebastian Major, Christoph J. Ploner, Christian Storm, Jens Nee, Christoph Leithner, Christian Endisch Frontiers in Cardiovascular Medicine.2024;[Epub] CrossRef
Saline versus Plasma Solution-A in Initial Resuscitation of Patients with Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial Jae-Hyug Woo, Yong Su Lim, Jin Seong Cho, Hyuk Jun Yang, Jae Ho Jang, Jea Yeon Choi, Woo Sung Choi Journal of Clinical Medicine.2023; 12(15): 5040. CrossRef
Study on the timing of severe blood-brain barrier disruption using cerebrospinal fluid-serum albumin quotient in post cardiac arrest patients treated with targeted temperature management Jung Soo Park, Yeonho You, Jin Hong Min, Insool Yoo, Wonjoon Jeong, Yongchul Cho, Seung Ryu, Jinwoong Lee, Seung Whan Kim, Sung Uk Cho, Se Kwang Oh, Hong Joon Ahn, Junwan Lee, In Ho Lee Resuscitation.2019; 135: 118. CrossRef
Optimal timing to measure optic nerve sheath diameter as a prognostic predictor in post-cardiac arrest patients treated with targeted temperature management Jung Soo Park, Yongchul Cho, Yeonho You, Jin Hong Min, Wonjoon Jeong, Hong Joon Ahn, Changshin Kang, Insool Yoo, Seung Ryu, Jinwoong Lee, Seung Whan Kim, Sung Uk Cho, Se Kwang Oh, Junwan Lee, In Ho Lee Resuscitation.2019; 143: 173. CrossRef
The Relationship Between the Decreased Rate of Initial Blood Glucose and Neurologic Outcomes in Survivors of Out-of-Hospital Cardiac Arrest Receiving Therapeutic Hypothermia Jae-Hyug Woo, Yong Su Lim, Hyuk Jun Yang, Sung Youl Hyun, Jin Seong Cho, Jin Joo Kim, Gun Lee Neurocritical Care.2017; 26(3): 402. CrossRef
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