Commentary: A lymph node mediastinal foreign body reaction mimicking nodal metastasis: a case series Gianluca Franceschini Frontiers in Medicine.2023;[Epub] CrossRef
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 Patients are often transported within the hospital, especially in cases of critical illness for which computed tomography (CT) is performed. Since increased transport time increases the risks of complications, reducing transport time is important for patient safety. This study aimed to evaluate the ability of our newly invented device, the Easy Tube Arrange Device (ETAD), to reduce transport time for CT evaluation in cases of critical illness.
Methods This prospective randomized control study included 60 volunteers. Each participant arranged five or six intravenous fluid lines, monitoring lines (noninvasive blood pressure, electrocardiography, central venous pressure, arterial catheter), and therapeutic equipment (O2 supply device, Foley catheter) on a Resusci Anne mannequin. We measured transport time for the CT evaluation by using conventional and ETAD method.
Results The median transport time for CT evaluation was 488.50 seconds (95% confidence interval [CI], 462.75 to 514.75) and, 503.50 seconds (95% CI, 489.50 to 526.75) with 5 and 6 fluid lines using the conventional method and 364.50 seconds (95% CI, 335.00 to 388.75), and 363.50 seconds (95% CI, 331.75 to 377.75) with ETAD (all P<0.001). The time differences were 131.50 (95% CI, 89.25 to 174.50) and 148.00 (95% CI, 116.00 to 177.75) (all P<0.001).
Conclusion The transport time for CT evaluation was reduced using the ETAD, which would be expected to reduce the complications that may occur during transport in cases of critical illness.
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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; : 100017. CrossRef