移动ICU及呼吸机在急诊科的应用.ppt

1、全球呼吸及睡眠医学的领导者 Global leaders in sleep and respiratory medicine什么是移动ICU？全球呼吸及睡眠医学的领导者 Global leaders in sleep and respiratory medicine什么是移动ICU （mobile ICU）？ -配备经过特殊培训的ICU水平的医务人员和必需的ICU水平的移动医疗设备的危重患者转运平台，如院内危重患者转运床、救护车、救护直升机、固定翼救援飞机等。澳大利亚MedStar紧急救援中心固定翼救援飞机Flying Intensivists +ICU device equipted FX

2、plane全球呼吸及睡眠医学的领导者 Global leaders in sleep and respiratory medicine院内移动ICUPost-op recoveryICUHemodialysesA127(2):688-9; author reply 689.Ligtenberg JJ, Arnold LG, Stienstra Y, et al. Quality of interhospital transport of critically ill patients: a prospective audit.Crit Care.2005 Aug;9(4):R446-51.全球

3、呼吸及睡眠医学的领导者 Global leaders in sleep and respiratory medicine国 ” 移动ICU的 用 Therefore, a mobile intensive care unit must accompany the patient and must include the same monitoring capability and personnel available in the ICU.Determination must be made before departure concerning whether the patient wi

4、ll receive adequate support on a transport ventilator or will require transport with ICU ventilator. - ，一个移动ICU应该病人的转运 应该包 在ICU 的监 设备.Reynolds HN, Habashi NM, Cottingham CA, et al. Interhospital transport of the adult mechanically ventilated patient. Respir Care Clin N Am. 2002 8(1):37-50.全球呼吸及睡眠医学的

5、领导者 Global leaders in sleep and respiratory medicine国 ” 移动ICU的 用 CONCLUSIONS: Mobile ICU emerges as a safe and convenient method of in-hospital transport. It allows uninterrupted monitoring, immediate response to physiologic changes, and reduction in human resource consumption. Process of care is im

6、proved. Mobile ICU s potential to improve clinical outcomes needs to be tested in different environments, including the prehospital setting. 移动ICU是 全和 便的院内转运 式 移动ICU 床 的在 需在 的 ，包括院前急救Velmahos GC, Demetriades D, Ghilardi M, et al. Life support for trauma and transport: a mobile ICUfor safe in-hospita

7、l transport of critically injured patients. J Am Coll Surg. 2004;199(1):62-8.全球呼吸及睡眠医学的领导者 Global leaders in sleep and respiratory medicine移动ICU (MICU)用 院内转运是 和 求（荷兰） When looking at our data, transfer by MICU appears to be safe despite the high degree of severity of disease. We, therefore, conclude

8、 that the safety of the current way of transporting the critically ill is warranted and that the MICU sets a major improvement in quality of care for the critically ill. -根据本”的数据，移动ICU是 全的转运 ，尽管病人严重程度很高 This observational study of MICU transfer shows that transfer by MICU is not associated with majo

9、r deterioration in patient status and that the implementation of a transport protocol with a mobile Intensive Care Unit has led to an improvement in quality of care on the road, compared to the former way of transfer. -没 与转运 关的病情恶 ，与常 式 比，改善医疗质量Janke S Wiegersma, Joep M Droogh, Jan G Zijlstra, et al. Quality of interhospital transport of the critically ill: impact of a Mobile Intensive Care Unit with a specialized retrieval team. Critical Care 2011, 15:R75-82.