Difference between revisions of "ICU transport"

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Latest revision as of 18:35, 29 July 2021

When considering an ICU transport, bring what you would need to be a mobile anesthesia unit.

Setup

Monitors

Some anesthesia machines have a portable monitor that you can detach and bring with you. When you get to the ICU room, hook up all lines to the patient as if you were in the OR. When you return to the OR, you just have to clip it back in and all of your data will go automatically into your anesthesia machine.
If your machine doesn't have a portable monitor, ask your anesthesia techs for a separate portable monitor.

Airway

Ambubag
Mapleson D/Jackson Reese
Emergency intubation/re-intubation supplies
- Oral airway, blade, ETT tube
Consider the patient's current ventilator needs, if need be, you may need to call respiratory therapy to bring the ventilator with you

IV

Make sure your patient has sufficient access in case you need to push drugs along the transport. Most ICU patients already have lots of lines, but it never hurts to check just in case.

Drugs

Consider if you were to get stuck in a broken elevator with your ICU patient and you need to keep them safe. What would you need? Even if your patient is already on drips that fulfill these functions, a bolus is much faster if you need to intervene urgently/emergently.

Sedation - e.g. midazolam, propofol, antipsychotics if applicable
Paralysis if intubated - e.g. rocuronium
Vasoactives - e.g. phenylephrine, ephedrine, labetalol

Transport

A safe ICU transport has at least three people:

Someone to manage the airway exclusively
Someone at the foot of the bed to help steer and maneuver obstacles
Someone at the head of the bed that would also manage lines and the IV pole - grab the lines, the pole, and one of the bed handles with one hand to absolutely prevent any lines from being accidentally pulled out

References

Top contributors: Erika Chow

@@ Line 1: / Line 1: @@
-When considering an ICU transport, bring what you would need to be a mobile anesthesia unit, so in some ways,    still applies
+When considering an ICU transport, bring what you would need to be a mobile anesthesia unit.
-== Airway ==
+== Setup ==
+=== Monitors ===
+* Some anesthesia machines have a portable monitor that you can detach and bring with you. When you get to the ICU room, hook up all lines to the patient as if you were in the OR. When you return to the OR, you just have to clip it back in and all of your data will go automatically into your anesthesia machine.
+* If your machine doesn't have a portable monitor, ask your anesthesia techs for a separate portable monitor.
+=== Airway ===
 * Ambubag
-* Mapleson D circuit/Jackson Reese
+* Mapleson D/Jackson Reese
 * Emergency intubation/re-intubation supplies
 ** Oral airway, blade, ETT tube
+* Consider the patient's current ventilator needs, if need be, you may need to call respiratory therapy to bring the ventilator with you
-== IV ==
+=== IV ===
-=== management<!-- Describe how this comorbidity may influence intraoperative management. --> ===
-=== Postoperative management<!-- Describe how this comorbidity may influence postoperative management. --> ===
-== Related surgical procedures<!-- List and briefly describe any procedures which may be performed specifically to treat this comorbidity or its sequelae. If none, this section may be removed. --> ==
-== Pathophysiology<!-- Describe the pathophysiology of this comorbidity. Add subsections as needed. --> ==
-== Signs and symptoms<!-- Describe the signs and symptoms of this comorbidity. --> ==
-== Diagnosis<!-- Describe how this comorbidity is diagnosed. --> ==
-== Treatment<!-- Summarize the treatment of this comorbidity. Add subsections as needed. --> ==
+* Make sure your patient has sufficient access in case you need to push drugs along the transport. Most ICU patients already have lots of lines, but it never hurts to check just in case.
-=== Medication<!-- Describe medications used to manage this comorbidity. --> ===
+=== Drugs ===
+Consider if you were to get stuck in a broken elevator with your ICU patient and you need to keep them safe. What would you need? Even if your patient is already on drips that fulfill these functions, a bolus is much faster if you need to intervene urgently/emergently.
-=== Surgery<!-- Describe surgical procedures used to treat this comorbidity. --> ===
+* Sedation - e.g. midazolam, propofol, antipsychotics if applicable
+* Paralysis if intubated - e.g. rocuronium
+* Vasoactives - e.g. phenylephrine, ephedrine, labetalol
-=== Prognosis<!-- Describe the prognosis of this comorbidity --> ===
+== Transport ==
+A <u>safe</u> ICU transport has at least three people:
-== Epidemiology<!-- Describe the epidemiology of this comorbidity --> ==
+# Someone to manage the airway exclusively
+# Someone at the foot of the bed to help steer and maneuver obstacles
+# Someone at the head of the bed that would also manage lines and the IV pole - grab the lines, the pole, and one of the bed handles with one hand to absolutely prevent any lines from being accidentally pulled out
 == References ==
 [[Category:Comorbidities]]