Subscribe to RSS
DOI: 10.1055/s-0040-1714184
Transfer of Critically Ill COVID-19 Patients in Low-Resource Setting Hospitals: Are We Doing It Right?
Introduction
The COVID-19 pandemic in the year 2019–2020 has left us questioning the practices we follow for transferring critically ill patients from the ICU to radiological suites or any other step-up or stepdown facility. In our settings with limited resources, although separate areas for COVID-19 confirmed, suspected, and non-COVID-19 areas have been identified, a mix-up of patients is often encountered due to lack of space and trained staff. Moreover, with no separate corridor or lift for COVID-19 patient transport and a shared common route of movement inside hospital, there is high-risk of disease transmission among healthcare workers and bystanders. Here, we share our experience from a 718-bedded tertiary care hospital in India with 32 dedicated COVID-19 ICU beds.
Publication History
Article published online:
06 July 2020
© 2020. Indian Society of Neuroanaesthesiology and Critical Care. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India
-
References
- 1 Parmentier-Decrucq E, Poissy J, Favory R. et al. Adverse events during intrahospital transport of critically ill patients: incidence and risk factors. Ann Intensive Care 2013; 3 (01) 10
- 2 Chan MTV, Chow BK, Lo T. et al. Exhaled air dispersion during bag-mask ventilation and sputum suctioning-Implications for infection control. Sci Rep 2018; 8 (01) 198
- 3 Wong JEL, Leo YS, Tan CC. COVID-19 in Singapore-current experience: critical global issues that require attention and action. JAMA 2020;
- 4 Wax RS, Christian MD. Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients. Can J Anaesth 2020; 67 (05) 568-576
- 5 NCDC. National Guidelines for Infection Prevention and Control in Healthcare Facilities. New Delhi: MOHFW; 2020
- 6 Respiratory care committee of Chinese Thoracic Society. [Expert consensus on preventing nosocomial transmission during respiratory care for critically ill patients infected by 2019 novel coronavirus pneumonia]. Zhonghua Jie He Hu Xi Za Zhi 2020; 17 (00) E020
- 7 Wilkes AR. Heat and moisture exchangers and breathing system filters: their use in anaesthesia and intensive care. Part 1 - history, principles and efficiency. Anaesthesia 2011; 66 (01) 31-39