I. WRIGHT; P.N. ROGERS; S. RIDLEY
To the editor: Braman and associates (1) update work originally done in our department (2). Their conclusion that mechanical ventilation produces less change from baseline measurements of blood gas values than manual ventilation and therefore fewer hemodynamic complications is not unexpected. As they note, however, even with mechanical ventilation 6 of 16 patients showed large alterations in PCO2 or pH, and 3 had adverse cardiovascular events. This finding shows that intrahospital transport of critically ill patients is not always simple, and in addition to the optimization of oxygenation and ventilation, other factors must be considered.
We have transferred over 1500
WRIGHT I, ROGERS P, RIDLEY S. Risks in Intrahospital Transport. Ann Intern Med. ;108:638. doi: 10.7326/0003-4819-108-4-638_1
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Published: Ann Intern Med. 1988;108(4):638.
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